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New Hampshire rates for HCPCS 12020

Treatment of superficial wound dehiscence; simple closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.66 / $938.19 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.50 / $216.05 / $442.10
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
$185.02 / $327.96 / $561.79
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
$251.75 / $446.59 / $863.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.34 / $504.32 / $933.44
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
$302.23 / $480.97 / $1,047.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.08 / $231.96 / $329.36