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New Hampshire rates for HCPCS 33750

Shunt Subclavian Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,993.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.09 / $1,485.70 / $1,485.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.63 / $2,371.73 / $3,783.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.56 / $2,992.06 / $3,694.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.84 / $2,645.77 / $4,563.28
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
$1,711.07 / $2,216.83 / $4,801.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.97 / $1,080.17 / $1,374.76