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North Carolina rates for HCPCS 43253

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.43 / $3,015.29 / $6,735.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$128.22 / $191.26 / $212.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.63 / $559.63 / $884.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.83 / $887.89 / $1,675.01
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.45 / $374.49 / $453.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,427.40 / $4,901.45
Wellcare
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$472.90 / $3,716.72 / $3,716.72