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New Hampshire rates for HCPCS 43257

Egd Deliver Thermal Energy Sphnctr/Cardia Gerd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,174.32 / $2,678.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.00 / $6,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00