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New Hampshire rates for HCPCS 61702

Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,859.00 / $13,320.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,050.59 / $5,589.81 / $13,320.60
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
$4,829.78 / $7,647.86 / $11,183.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,086.24 / $8,325.37 / $12,000.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,525.07 / $8,976.83 / $14,906.03
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
$3,395.66 / $6,822.83 / $15,810.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,142.46 / $3,456.71 / $4,399.43