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New Hampshire rates for HCPCS 35521

Bypass W/Vein Axillary-Femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,896.04 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.85 / $1,503.93 / $1,503.93
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
$1,270.03 / $2,289.08 / $3,650.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.04 / $2,872.60 / $3,546.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.94 / $2,552.41 / $4,402.27
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
$1,678.08 / $2,672.02 / $6,842.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.08 / $1,041.79 / $1,325.91