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New Hampshire rates for HCPCS 43510

Gstrt W/Esophgl Dilat&Insj Prm Intral Tube

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,338.91 / $3,338.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.16 / $976.22 / $1,228.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.90 / $1,664.09 / $2,674.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.75 / $1,762.44 / $2,858.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.83 / $1,845.40 / $3,292.77
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
$990.87 / $1,513.08 / $2,766.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.25 / $821.98 / $1,046.15