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New Hampshire rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,105.54 / $6,105.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.34 / $1,797.74 / $2,340.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.90 / $9,132.04 / $17,364.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.53 / $3,163.45 / $5,060.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.23 / $3,328.31 / $5,415.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.88 / $3,492.26 / $6,231.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.92 / $2,784.75 / $6,770.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.94 / $1,561.93 / $1,987.92