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New Hampshire rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $724.44 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $537.03 / $1,000.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,466.84 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,466.84 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,047.13
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $398.11 / $467.74