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New Hampshire rates for HCPCS 43762

Perq Replacement Gtube Not Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $248.27 / $30,921.70
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$32.38 / $32.38 / $196.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.64 / $205.30 / $258.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.97 / $78.20 / $359.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.15 / $266.57 / $661.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.06 / $206.80 / $682.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.49 / $373.81 / $661.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.45 / $166.17 / $269.58