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New Hampshire rates for HCPCS 43496

Free jejunum transfer with microvascular anastomosis

Facilitymedian $9,120 · 10th–90th $2,042–$16,2180%10%10th90th$9,120Professionalmedian $2,754 · 10th–90th $1,995–$4,7860%10%20%10th90th$2,754$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,398.83 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $10,964.78 / $16,982.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $3,162.28 / $5,754.40
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,467.37 / $5,623.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,162.28 / $6,456.54
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,137.96 / $2,951.21