go back

New Hampshire rates for HCPCS 40843

Vestibuloplasty Posterior Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,863.47 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.27 / $1,110.18 / $2,863.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.86 / $1,643.30 / $2,370.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.81 / $2,179.28 / $3,645.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.86 / $2,165.36 / $4,136.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.39 / $2,017.41 / $4,445.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.63 / $948.82 / $1,138.58