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South 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
$724.44 / $7,943.28 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,737.80 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $537.03 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$354.81 / $354.81 / $354.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $354.81 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $6,309.57 / $10,000.00