go back

New Hampshire rates for HCPCS 13100

Repair, complex, trunk; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.60 / $1,112.89 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.03 / $258.27 / $344.04
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
$195.37 / $350.35 / $632.46
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
$265.95 / $506.61 / $982.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.84 / $549.25 / $1,055.05
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
$330.31 / $478.24 / $1,215.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $272.77 / $381.89