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New York 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
$353.99 / $3,457.00 / $9,267.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$134.26 / $157.62 / $231.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.96 / $1,716.00 / $6,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.83 / $294.83 / $7,289.38
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.39 / $332.00 / $660.22
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.08 / $242.08 / $639.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.83 / $1,765.00 / $7,289.38
MVP Health Care
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,612.00 / $8,133.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.31 / $310.31 / $637.41