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New Hampshire rates for HCPCS 43763

Perq Replacement Gtube Req Revj Gstrst Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $578.97 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $342.34 / $382.46
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
$102.28 / $200.24 / $565.37
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
$121.20 / $319.63 / $979.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $346.50 / $1,008.28
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
$413.44 / $575.78 / $2,093.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.13 / $92.58 / $329.77