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New Hampshire rates for HCPCS 33875

Descending Thoracic Aorta Graft W/Wo Bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,447.94 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.15 / $2,195.08 / $2,825.45
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
$2,819.62 / $5,121.20 / $8,155.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,080.67 / $6,448.72 / $7,961.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,987.29 / $5,703.15 / $9,836.51
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
$2,731.74 / $5,464.53 / $10,624.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.82 / $2,446.31 / $3,752.43