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New Hampshire rates for HCPCS 78261

Gastric mucosa imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $251.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $436.52 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $354.81 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $724.44