# CPT 43243: Egd Injection Sclerosis Esophgl/gastric Varices

Medicare CPT 43243 pays $209.09 in a non-facility setting and $209.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $193.11 in Arkansas to $274.02 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/43243-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $209.09 |
| National facility | $209.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $274.02 | $274.02 |
| New York | $228.10 | $228.10 |
| District of Columbia | $227.93 | $227.93 |
| Florida | $226.02 | $226.02 |
| New Jersey | $224.32 | $224.32 |
| Illinois | $223.93 | $223.93 |
| Connecticut | $219.62 | $219.62 |
| Washington | $217.07 | $217.07 |
| Massachusetts | $216.76 | $216.76 |
| California | $215.58 | $215.58 |
| Maryland | $214.50 | $214.50 |
| Michigan | $213.11 | $213.11 |
| Rhode Island | $211.55 | $211.55 |
| Pennsylvania | $210.49 | $210.49 |
| Georgia | $210.37 | $210.37 |
| Colorado | $210.24 | $210.24 |
| West Virginia | $209.85 | $209.85 |
| Puerto Rico | $209.40 | $209.40 |
| Virgin Islands | $209.40 | $209.40 |
| Montana | $209.05 | $209.05 |
| New Hampshire | $209.03 | $209.03 |
| Hawaii | $208.82 | $208.82 |
| New Mexico | $208.30 | $208.30 |
| Oregon | $208.11 | $208.11 |
| Texas | $207.78 | $207.78 |
| Delaware | $207.37 | $207.37 |
| Nevada | $206.19 | $206.19 |
| Louisiana | $205.36 | $205.36 |
| Arizona | $204.91 | $204.91 |
| Ohio | $204.67 | $204.67 |
| Missouri | $204.49 | $204.49 |
| Wyoming | $204.49 | $204.49 |
| Utah | $204.14 | $204.14 |
| Virginia | $202.99 | $202.99 |
| South Carolina | $202.45 | $202.45 |
| Kentucky | $201.76 | $201.76 |
| Maine | $200.15 | $200.15 |
| Vermont | $199.82 | $199.82 |
| Oklahoma | $199.53 | $199.53 |
| North Carolina | $199.19 | $199.19 |
| North Dakota | $198.57 | $198.57 |
| Minnesota | $198.15 | $198.15 |
| South Dakota | $197.34 | $197.34 |
| Mississippi | $197.18 | $197.18 |
| Indiana | $196.16 | $196.16 |
| Tennessee | $196.12 | $196.12 |
| Idaho | $195.57 | $195.57 |
| Kansas | $195.28 | $195.28 |
| Alabama | $194.85 | $194.85 |
| Wisconsin | $194.64 | $194.64 |
| Nebraska | $194.04 | $194.04 |
| Iowa | $193.96 | $193.96 |
| Arkansas | $193.11 | $193.11 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 43243 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules