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New Hampshire rates for HCPCS 43233

Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $229.09 / $281.84