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New Hampshire rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,859.00 / $10,850.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,339.20 / $4,559.95 / $10,850.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,959.69 / $6,258.54 / $9,115.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,160.77 / $6,860.69 / $9,857.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.56 / $7,317.37 / $12,150.49
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
$4,136.51 / $5,804.14 / $11,154.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,577.28 / $3,043.75 / $4,546.32