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New Hampshire rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.93 / $589.39 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.50 / $126.23 / $189.72
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
$91.22 / $171.76 / $316.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.09 / $234.52 / $504.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.98 / $266.87 / $551.96
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
$225.18 / $299.52 / $597.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.06 / $148.38 / $224.06