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New Hampshire rates for HCPCS 33369

Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.52 / $1,080.86 / $1,080.86
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
$1,012.35 / $1,809.64 / $2,887.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.37 / $2,275.12 / $2,808.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.63 / $2,019.17 / $3,482.56
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
$1,342.73 / $1,834.20 / $3,717.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.21 / $835.13 / $1,062.89