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New Hampshire rates for HCPCS 0652T

Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.02 / $303.23 / $365.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.91 / $233.86 / $233.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.32 / $2,862.32 / $2,962.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.19 / $586.73 / $1,046.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.17 / $487.71 / $874.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00