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New Hampshire rates for HCPCS 12031

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $831.76 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $316.23 / $851.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $269.15 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $354.81 / $676.08
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $331.13 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $338.84 / $630.96
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $346.74