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New Hampshire rates for HCPCS 43647

Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.89 / $412.89 / $785.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,041.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.89 / $742.00 / $742.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.46 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.00 / $1,291.71 / $2,083.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.52 / $1,343.22 / $2,396.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.00 / $5,762.00 / $12,629.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.29 / $888.57 / $1,698.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00