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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
$100.00 / $397.59 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.58 / $113.20 / $145.83
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
$108.68 / $194.95 / $311.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $213.56 / $333.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.42 / $215.22 / $384.02
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
$119.13 / $167.40 / $327.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.09 / $96.90 / $123.33