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New Hampshire rates for HCPCS 33775

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,079.46 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,187.76 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,981.07 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $4,365.16 / $5,370.32
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,548.13 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,467.37 / $6,760.83