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New Hampshire rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,890.45 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $691.83 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,288.25 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,023.29 / $1,737.80
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $12,302.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $4,677.35 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,819.70
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $562.34 / $812.83