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New Hampshire rates for HCPCS 0164T

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.05 / $1,142.95 / $13,531.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.96 / $1,139.75 / $10,604.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.17 / $666.17 / $672.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.08 / $989.08 / $989.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,832.91 / $2,832.91 / $2,832.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.84 / $1,057.23 / $2,076.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.51 / $946.78 / $1,751.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00