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New Hampshire rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,065.31 / $9,065.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.58 / $2,606.59 / $3,279.95
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
$2,488.42 / $4,463.74 / $7,141.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,452.96 / $4,692.68 / $7,578.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.72 / $4,927.72 / $8,792.57
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
$2,704.44 / $3,962.33 / $7,427.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.58 / $2,200.64 / $2,800.81