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New Hampshire rates for HCPCS 0692T

Therapeutic ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $85.65 / $98.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.78 / $67.93 / $83.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.96 / $1,443.84 / $1,842.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.33 / $139.68 / $237.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00