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New Hampshire rates for HCPCS 35634

Bypass graft, with other than vein; iliorenal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $7,244.36 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,995.26 / $5,623.41
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
$1,621.81 / $3,715.35 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,168.69 / $5,128.61
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
$1,905.46 / $3,235.94 / $5,011.87
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
$2,398.83 / $3,235.94 / $6,309.57