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New Hampshire rates for HCPCS 43846

Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,623.41 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,659.59 / $3,311.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $10,964.78 / $16,982.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,235.94 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,398.83 / $4,365.16
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,511.89 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $4,466.84
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $2,041.74