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Upper Endoscopy With Mucosal Resection

Vermont rates for HCPCS 43254

A flexible scope is passed through the mouth into the esophagus, stomach and the first part of the small intestine, and an abnormal patch of the lining is lifted off the wall and removed. Fluid is usually injected underneath first so the patch rises clear of the deeper layers before it is taken. It allows flat growths or early abnormal tissue to be removed without open surgery.

Rates data updated July 2026.

How much rates vary

Facilitymedian $2,512 · 10th to 90th $2,512 to $2,512
facility $2,512

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89