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New Hampshire rates for HCPCS 91113

Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), colon, with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,513.56 / $2,511.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,778.28 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,621.81 / $3,311.31
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44