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New Hampshire rates for HCPCS 43400

Ligation Direct Esophageal Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,786.99 / $5,786.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.87 / $1,584.29 / $1,971.61
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
$1,484.38 / $2,650.64 / $4,259.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,493.25 / $2,800.98 / $4,559.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.31 / $2,939.47 / $5,244.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,660.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,683.19 / $2,653.93 / $5,451.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.30 / $1,315.93 / $1,674.82