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New Hampshire rates for HCPCS 33776

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,452.67 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.29 / $2,064.46 / $2,064.46
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
$2,031.42 / $3,682.25 / $5,875.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.03 / $4,643.77 / $5,733.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.92 / $4,108.33 / $7,085.84
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
$2,653.82 / $3,904.63 / $7,448.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,522.57 / $1,674.83 / $2,131.60