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New Hampshire rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,772.76 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.56 / $1,352.79 / $1,432.70
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
$1,367.45 / $2,484.29 / $3,967.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.11 / $3,137.65 / $3,873.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.27 / $2,774.49 / $4,785.31
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
$1,778.29 / $2,310.82 / $5,005.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.69 / $1,127.16 / $1,434.57