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New Hampshire rates for HCPCS 33505

Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,523.12 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.51 / $2,262.30 / $2,262.30
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
$2,130.96 / $3,847.58 / $6,129.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,063.82 / $4,840.67 / $5,976.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.92 / $4,285.85 / $7,392.03
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
$2,751.94 / $3,475.55 / $7,819.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.34 / $1,759.27 / $2,239.08