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New Hampshire rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,057.53 / $4,057.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.24 / $1,198.73 / $1,559.37
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
$1,178.38 / $2,104.23 / $3,381.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.08 / $2,225.69 / $3,615.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.00 / $2,333.50 / $4,163.68
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
$1,282.78 / $1,862.70 / $3,511.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.24 / $1,041.96 / $1,326.14