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New Hampshire rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,327.92 / $3,987.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $16,774.39 / $28,708.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,660.00 / $12,399.00