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New Hampshire rates for HCPCS 0659T

Tcat Intra-C Nfs Supersat O2 W/Perq C Revsc Ami

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
$83.09 / $83.09 / $92.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,992.00 / $32,007.54 / $55,801.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.62 / $1,431.43 / $1,998.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,123.00 / $52,267.00 / $61,633.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.46 / $4,200.97 / $7,245.64
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
$113.22 / $163.34 / $461.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00