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Upper Endoscopy With Injection of Swollen Veins

New Hampshire rates for HCPCS 43204

Passes a flexible lighted tube through the mouth into the food pipe and injects a medicine into swollen veins in its wall to scar them closed. These veins, called varices, form when liver disease dams up blood flow, and they can bleed heavily. Sealing them stops bleeding or prevents it from starting.

Facilitymedian $1,820 · 10th–90th $832$9,7720%10%20%10th90th$1,820Professionalmedian $200 · 10th–90th $129$3630%10%10th90th$200$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,819.70
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$302.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$3,890.45
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$263.03
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$478.63
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$3,890.45
Typical High
$8,709.64
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$204.17
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$3,890.45
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$426.58
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$158.49