go back

New Hampshire rates for HCPCS 11404

Exc B9 Lesion Mrgn Xcp Sk Tg T/A/L 3.1-4.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.30 / $547.07 / $2,812.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.68 / $181.37 / $454.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.69 / $263.26 / $423.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.97 / $334.41 / $563.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.22 / $424.57 / $703.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.52 / $328.29 / $787.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.87 / $181.08 / $282.80