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New Hampshire rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,022.66 / $4,022.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.75 / $1,182.24 / $1,541.90
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
$1,165.44 / $2,081.13 / $3,344.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.25 / $2,201.28 / $3,575.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.19 / $2,307.88 / $4,117.97
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
$1,239.68 / $1,816.14 / $3,868.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.90 / $1,019.59 / $1,297.66