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New Hampshire rates for HCPCS 35112

Dir Rpr Ruptd Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,544.58 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.99 / $1,979.63 / $1,979.63
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
$1,688.66 / $3,042.58 / $4,850.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,416.90 / $3,815.46 / $4,710.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.67 / $3,391.91 / $5,850.19
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
$2,153.76 / $2,866.65 / $6,209.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.15 / $1,387.27 / $1,765.61