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New Hampshire rates for HCPCS 35022

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,280.94 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.34 / $1,562.95 / $1,562.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.00 / $2,694.12 / $4,305.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.42 / $3,400.52 / $4,198.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.00 / $3,010.71 / $5,192.72
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
$1,935.01 / $2,528.32 / $5,476.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.49 / $1,231.44 / $1,567.29