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New Hampshire rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $275.42 / $537.03
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
$186.21 / $389.05 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $467.74 / $933.25
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
$229.09 / $467.74 / $954.99
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
$245.47 / $478.63 / $891.25
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $478.63