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New Hampshire rates for HCPCS 0105U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $2,337.94 / $6,650.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.00 / $769.50 / $769.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,562.75 / $1,839.01 / $4,294.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $617.50 / $729.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,715.42 / $3,472.59 / $4,167.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $1,091.56 / $1,364.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.33 / $1,688.34 / $3,380.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $570.00 / $570.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.37 / $780.31 / $993.12