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New Hampshire rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.48 / $194.42 / $553.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $63.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $51.35 / $51.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.65 / $288.49 / $346.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $107.22 / $243.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $47.40 / $47.40