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New Hampshire rates for HCPCS C9777

Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy

Facilitymedian $2,399 · 10th–90th $1,820–$9,7720%20%40%10th90th$2,399Professionalmedian $8,128 · 10th–90th $933–$11,4820%20%40%10th90th$8,128$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $8,128.31 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $4,265.80 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $8,709.64 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $4,265.80 / $9,549.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,511.38 / $9,772.37 / $14,125.38
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07