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New Hampshire rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.92 / $1,958.50 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.23 / $444.11 / $646.77
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
$410.80 / $687.82 / $1,129.71
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
$557.94 / $978.86 / $1,767.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.84 / $1,071.96 / $1,778.07
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
$604.91 / $930.77 / $2,150.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.45 / $471.03 / $580.78