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New Hampshire rates for HCPCS 78261

Gastric Mucosa Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.50 / $874.03 / $874.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.17 / $254.38 / $254.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.23 / $945.35 / $1,050.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.96 / $258.35 / $374.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.23 / $1,536.68 / $2,418.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.26 / $438.80 / $745.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.88 / $358.00 / $935.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.11 / $262.13 / $617.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.30 / $184.03 / $234.22