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New Hampshire rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.97 / $803.64 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.48 / $282.24 / $393.58
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
$214.46 / $384.58 / $710.35
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
$291.14 / $515.70 / $1,107.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.73 / $605.39 / $1,184.99
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
$371.65 / $612.89 / $1,333.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.02 / $299.68 / $419.55