go back

New Hampshire rates for HCPCS 0575T

Programming Dev Eval Icds W/Ss Eltrd In Person

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.74 / $60.74 / $67.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.06 / $95.26 / $133.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.01 / $167.15 / $287.87
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
$78.95 / $101.23 / $193.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00