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New Hampshire rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,589.62 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.04 / $2,161.83 / $2,161.83
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
$1,953.75 / $3,519.46 / $5,607.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,793.09 / $4,444.09 / $5,447.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.76 / $3,920.91 / $6,762.59
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
$2,488.88 / $3,735.42 / $10,547.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.53 / $1,604.38 / $2,041.94