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New Hampshire rates for HCPCS 99190

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.85 / $444.85 / $652.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.65 / $1,019.69 / $1,186.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.80 / $904.55 / $1,560.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.39 / $779.70 / $1,480.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00