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New Hampshire rates for HCPCS 43117

Prtl Esophect Dstl W/Wo Prox Gastrect/Pylorplsty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,970.00 / $8,970.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $15,307.77 / $29,108.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00