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New Hampshire rates for HCPCS 35521

Bypass graft, with vein; axillary-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,897.79 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,445.44 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,772.37 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,630.27 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $3,548.13
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,290.87 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,290.87 / $4,365.16