go back

New Hampshire rates for HCPCS 43405

Lig/Stapling G-Esop Junct Pre-Esophgl Prf8j

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,256.35 / $5,256.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.08 / $1,548.02 / $1,869.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $15,307.77 / $29,108.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.72 / $2,525.17 / $4,039.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.65 / $2,656.67 / $4,321.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.55 / $2,787.66 / $4,974.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.73 / $2,224.71 / $4,208.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.39 / $1,247.83 / $1,588.15