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New Hampshire rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,432.47 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.29 / $1,604.96 / $1,604.96
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
$1,521.36 / $2,760.88 / $4,410.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.19 / $3,485.20 / $4,302.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.53 / $3,084.26 / $5,319.58
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
$1,995.85 / $2,918.62 / $5,745.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.70 / $1,253.67 / $1,595.58