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New Hampshire rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $11,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.60 / $372.60 / $401.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.60 / $585.45 / $817.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.01 / $779.39 / $1,388.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.38 / $620.95 / $1,345.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00