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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
$731.22 / $2,682.40 / $11,674.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$154.28 / $365.61 / $365.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $1,000.00 / $3,729.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $615.00 / $1,139.16
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
$268.52 / $368.48 / $541.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00