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New Hampshire rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,859.00 / $10,151.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.37 / $2,953.06 / $3,663.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $15,307.77 / $29,108.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,736.51 / $4,908.80 / $7,853.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.14 / $5,150.31 / $8,404.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.74 / $5,419.01 / $9,669.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,619.37 / $4,490.24 / $10,616.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.64 / $2,442.69 / $3,108.90