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New Hampshire rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $6,165.95 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $3,548.13
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
$1,621.81 / $3,388.44 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $2,570.40 / $4,677.35
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
$1,862.09 / $2,691.53 / $4,265.80
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
$1,778.28 / $2,630.27 / $4,677.35
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,737.80 / $2,137.96