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New Hampshire rates for HCPCS 43250

Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $702.11 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.97 / $205.84 / $524.75
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
$205.05 / $383.40 / $791.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.31 / $502.46 / $1,370.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.58 / $525.97 / $1,372.11
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
$252.73 / $736.09 / $1,542.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.36 / $253.61 / $563.60