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New Hampshire rates for HCPCS 33964

Ecmo/Ecls Ecls Repos Central Cnula 6yrs & Older

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
$333.53 / $580.24 / $580.24
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
$509.70 / $912.46 / $1,454.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.82 / $1,147.52 / $1,416.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.70 / $1,017.00 / $1,754.08
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
$650.74 / $866.02 / $1,894.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.11 / $446.30 / $674.04