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New Hampshire rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,298.20 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.08 / $1,465.78 / $1,558.01
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
$1,475.82 / $2,669.96 / $4,256.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.80 / $3,366.72 / $4,156.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.21 / $2,976.75 / $5,134.14
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
$1,947.21 / $2,834.58 / $4,805.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.25 / $1,215.78 / $1,547.35