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New Hampshire rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.20 / $1,646.68 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.74 / $429.04 / $538.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.46 / $605.94 / $1,031.02
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
$467.40 / $823.09 / $1,568.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.61 / $935.23 / $1,713.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.76 / $883.83 / $1,909.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.99 / $386.39 / $515.53