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New Hampshire rates for HCPCS 0123U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.55 / $880.13 / $2,503.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.29 / $653.75 / $1,394.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.05 / $232.45 / $274.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.77 / $1,307.16 / $1,568.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.94 / $410.94 / $513.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.38 / $635.58 / $1,272.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.19 / $214.58 / $357.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00