go back

New Hampshire rates for HCPCS 36261

Revj Implanted Intra-Arterial Infusion Pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,338.10 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.81 / $418.72 / $418.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.81 / $792.92 / $1,271.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.02 / $1,009.35 / $1,246.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.43 / $929.50 / $1,656.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.89 / $717.41 / $1,554.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.60 / $352.66 / $448.84