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New Hampshire rates for HCPCS 0654T

Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $143.75 / $173.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $185.00 / $185.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.94 / $158.94 / $158.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,906.58 / $3,906.58 / $4,043.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $279.27 / $498.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.93 / $229.90 / $427.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00