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New Hampshire rates for HCPCS 0420T

Dstrj Neurofibromas Xtnsv Trnk Extremities >100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.53 / $2,400.00 / $2,400.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.66 / $315.55 / $329.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,351.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.80 / $1,233.33 / $2,061.48
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
$543.80 / $734.85 / $2,255.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00