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New Hampshire rates for HCPCS 44721

Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,380.38 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $776.25
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
$346.74 / $741.31 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $630.96 / $1,047.13
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
$398.11 / $562.34 / $912.01
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
$380.19 / $575.44 / $1,023.29
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $380.19 / $467.74