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New Hampshire rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,168.16 / $7,168.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.03 / $2,120.75 / $2,749.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.90 / $9,132.04 / $17,364.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,065.65 / $3,705.38 / $5,927.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.94 / $3,893.56 / $6,339.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.73 / $4,090.53 / $7,298.77
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
$2,021.50 / $3,617.14 / $13,148.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,669.40 / $1,836.34 / $2,337.16