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West Virginia 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
$6,563.08 / $6,563.08 / $6,563.08
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$129.99 / $129.99 / $196.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.95 / $304.83 / $332.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.83 / $294.83 / $294.83
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$230.55 / $230.55 / $230.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.46 / $1,639.46 / $6,904.15