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New Hampshire rates for HCPCS 33777

Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,281.36 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.32 / $1,897.75 / $1,897.75
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
$1,960.11 / $3,544.28 / $5,651.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.40 / $4,465.89 / $5,513.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,070.07 / $3,952.04 / $6,816.28
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
$2,547.27 / $3,320.86 / $10,562.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.27 / $1,616.20 / $2,056.98