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New Hampshire rates for HCPCS 43204

Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $158.49 / $269.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $263.03 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $275.42 / $478.63
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $204.17 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $223.87 / $380.19
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $134.90 / $165.96