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New Hampshire rates for HCPCS 45113

Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,760.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $3,715.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $8,511.38 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,630.78 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $2,884.03 / $5,011.87
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
$1,949.84 / $2,818.38 / $4,466.84
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
$1,862.09 / $2,818.38 / $5,128.61
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $2,290.87