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Texas 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
$812.83 / $3,548.13 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,511.89 / $4,786.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $1,445.44 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,148.15 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$354.81 / $354.81 / $354.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $4,897.79
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $489.78 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $316.23 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,511.89 / $4,786.30