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New Hampshire rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,479.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,479.11 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,071.52 / $1,995.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $8,709.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,174.90 / $2,137.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $794.33 / $977.24