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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
$197.53 / $753.01 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.97 / $265.49 / $539.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.34 / $1,020.34 / $1,020.34
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
$194.73 / $344.47 / $589.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.48 / $469.84 / $909.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $529.02 / $979.17
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
$306.42 / $495.98 / $1,080.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.88 / $242.80 / $339.92