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New Hampshire rates for HCPCS 12034

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.63 / $764.15 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $276.63 / $716.85
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
$200.22 / $359.06 / $624.98
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
$272.77 / $489.52 / $961.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.17 / $557.23 / $1,038.43
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
$278.89 / $478.95 / $1,151.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.15 / $258.67 / $362.14