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New Hampshire rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.29 / $284.49 / $284.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.79 / $434.28 / $692.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.32 / $546.28 / $674.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.76 / $484.47 / $835.58
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
$320.39 / $410.72 / $902.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.27 / $199.40 / $253.78