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New Hampshire rates for HCPCS 33501

Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,137.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.89 / $1,233.33 / $1,233.33
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
$1,158.83 / $2,088.15 / $3,341.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.41 / $2,638.10 / $3,257.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.96 / $2,336.71 / $4,030.23
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
$1,506.19 / $2,229.71 / $4,242.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.89 / $1,041.47 / $1,530.96