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New Hampshire rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,253.24 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.27 / $1,608.49 / $1,608.49
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
$1,359.33 / $2,448.67 / $3,906.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.68 / $3,072.36 / $3,793.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.04 / $2,732.05 / $4,712.10
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
$1,736.33 / $2,303.09 / $5,089.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.74 / $1,115.10 / $1,419.24