go back

New Hampshire rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,678.80 / $4,352.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.32 / $1,278.04 / $1,654.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,943.88 / $27,720.89 / $40,613.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.55 / $2,241.44 / $3,585.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.40 / $2,361.01 / $3,841.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.47 / $2,474.42 / $4,415.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.00 / $4,487.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.42 / $2,006.74 / $4,384.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.73 / $1,107.40 / $1,409.42