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New Hampshire rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,464.25 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.92 / $2,160.96 / $2,160.96
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
$2,018.01 / $3,649.81 / $5,819.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,912.22 / $4,596.76 / $5,675.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,131.56 / $4,069.44 / $7,018.77
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
$2,619.28 / $3,423.36 / $7,415.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.91 / $1,665.30 / $2,119.46