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New Hampshire rates for HCPCS 43112

Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $9,772.37 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,388.44 / $6,025.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $18,197.01 / $28,840.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $6,606.93 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $4,570.88 / $9,120.11
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $5,248.07 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,786.30 / $8,709.64
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $4,168.69