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New Hampshire rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.79 / $378.16 / $3,631.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $92.31 / $267.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $124.14 / $217.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $169.23 / $333.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.65 / $188.66 / $353.99
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
$112.68 / $177.42 / $424.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.71 / $92.60 / $133.78