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New Hampshire rates for HCPCS 0122U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.38 / $1,295.05 / $3,683.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.36 / $426.25 / $426.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.65 / $961.95 / $2,052.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.49 / $342.04 / $404.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.21 / $1,923.63 / $2,308.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $604.63 / $755.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.20 / $935.22 / $1,872.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $315.74 / $315.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00