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New Hampshire rates for HCPCS 0121U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.29 / $1,253.14 / $3,564.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.44 / $412.45 / $412.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.63 / $930.82 / $1,985.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.68 / $330.98 / $391.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.46 / $1,861.39 / $2,233.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $585.22 / $731.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.09 / $904.95 / $1,811.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $305.52 / $509.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00