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New Hampshire rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,101.47 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.83 / $2,123.16 / $2,308.77
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
$2,125.31 / $3,844.39 / $6,130.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,067.10 / $4,841.08 / $5,976.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.29 / $4,286.56 / $7,393.25
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
$2,757.68 / $3,605.96 / $7,811.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.45 / $1,753.90 / $2,232.23