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New Hampshire rates for HCPCS 33503

Rpr Anom Coronary Artery Pulm Art Origin Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,156.43 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.24 / $1,476.35 / $1,476.35
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
$1,377.34 / $2,505.28 / $4,005.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.85 / $3,165.77 / $3,908.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.98 / $2,800.66 / $4,830.43
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
$1,806.64 / $2,640.70 / $5,041.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.54 / $1,135.79 / $1,445.56