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New Hampshire rates for HCPCS 12052

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $1,479.11 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $281.84 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
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
$173.78 / $346.74 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $436.52 / $794.33
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
$208.93 / $416.87 / $812.83
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
$229.09 / $416.87 / $776.25
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $416.87