go back

New Hampshire rates for HCPCS 0614T

Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $21,126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.49 / $835.49 / $908.19
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
$445.04 / $628.42 / $877.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.60 / $819.31 / $1,459.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.20 / $1,436.39 / $3,144.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00