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New Hampshire rates for HCPCS 0697T

Quan Mr Alys Tis Compj Wo Mri Same Sess Mlt Orgn

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.61 / $348.61 / $370.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,720.59 / $5,720.59 / $7,935.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.25 / $803.11 / $1,109.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00