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New Hampshire rates for HCPCS 0562T

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.47 / $26.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.91 / $24.91 / $29.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $38.38 / $71.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $27.30 / $52.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00