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New Hampshire rates for HCPCS 11901

Injection Intralesional >7 Lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.17 / $174.70 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.02 / $64.16 / $169.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.79 / $163.79 / $163.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $76.97 / $131.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.52 / $100.94 / $174.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.96 / $118.22 / $218.28
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
$68.13 / $98.07 / $242.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.76 / $55.58 / $77.48