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New Hampshire rates for HCPCS 35363

Teaec W/Wo Patch Graft Combined Aortoiliofemoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,659.62 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.63 / $1,946.94 / $1,946.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $8,883.46 / $15,487.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.78 / $3,022.87 / $4,821.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,402.19 / $3,790.74 / $4,680.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.93 / $3,371.39 / $5,814.81
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
$2,139.84 / $2,619.90 / $6,152.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.17 / $1,378.49 / $1,754.44