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New Hampshire rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,466.84 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $794.33 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $660.69 / $891.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $758.58 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $3,162.28