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New Hampshire rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $707.95 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $933.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.79 / $97.72