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New Hampshire rates for HCPCS 43635

Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $398.11 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $114.82 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $10,964.78 / $16,982.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $218.78 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $309.03
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $165.96 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $302.00
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $109.65 / $138.04