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New Hampshire rates for HCPCS 33853

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass

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 / $2,089.30 / $5,495.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $10,471.29 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $3,890.45 / $5,623.41
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 / $5,370.32
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
$2,454.71 / $3,388.44 / $6,760.83