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New Hampshire rates for HCPCS 01140

Anesthesia Interpelvi Abdominal Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,442.24 / $1,442.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $32.50 / $1,312.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.48 / $1,086.40 / $1,438.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.00 / $1,200.00 / $1,628.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $103.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.16 / $350.30 / $445.83