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New Hampshire rates for HCPCS 33853

Rpr Hypoplstc A-Arch W/Agrft/Prostc W/Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,089.56 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.75 / $2,049.65 / $2,049.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,899.75 / $3,443.80 / $5,493.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,752.93 / $4,343.07 / $5,362.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,012.27 / $3,841.71 / $6,625.98
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
$2,481.92 / $3,652.07 / $6,966.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.05 / $1,566.46 / $1,993.67