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New Hampshire rates for HCPCS 13120

Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.65 / $1,156.19 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.29 / $269.20 / $407.04
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
$224.16 / $390.43 / $661.27
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
$305.74 / $549.09 / $1,024.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.39 / $606.86 / $1,098.73
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
$312.24 / $525.88 / $1,266.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.37 / $283.14 / $397.95