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New Hampshire rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.96 / $1,405.91 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.25 / $319.39 / $441.62
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
$276.24 / $482.12 / $817.67
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
$374.21 / $654.49 / $1,237.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.32 / $747.84 / $1,358.58
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
$455.23 / $759.74 / $1,790.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.04 / $343.48 / $480.87