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Tennessee 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
$694.00 / $2,678.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$119.27 / $262.38 / $360.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.00 / $2,706.00 / $3,591.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $1,087.39 / $3,203.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,901.45 / $4,901.45
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$472.90 / $3,716.72 / $3,716.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00