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New Hampshire rates for HCPCS 33258

Atria Abltj & Rcnstj W/Other Px Extensiv W/O Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,449.69 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.61 / $725.20 / $725.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.20 / $1,218.30 / $1,948.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.72 / $1,541.15 / $1,902.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.86 / $1,362.85 / $2,350.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.38 / $1,140.56 / $2,470.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.16 / $556.78 / $708.62