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New Hampshire rates for HCPCS 43888

Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,527.14 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.01 / $460.06 / $598.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.00 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.32 / $965.62 / $1,644.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.48 / $872.96 / $1,413.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.83 / $909.58 / $1,622.97
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
$435.16 / $696.26 / $1,392.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.23 / $403.95 / $514.12