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Utah 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
$372.81 / $4,387.00 / $7,568.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$186.41 / $186.41 / $186.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,686.94 / $3,607.85 / $5,257.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00