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New Hampshire rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $8,653.26 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.18 / $2,529.82 / $2,529.82
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
$2,293.32 / $4,042.32 / $6,423.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,198.85 / $5,173.43 / $6,387.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,352.71 / $4,491.66 / $7,747.00
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
$2,923.65 / $3,929.47 / $8,511.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.86 / $1,903.95 / $2,423.19