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New Hampshire rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.36 / $1,154.22 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.44 / $383.70 / $802.37
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
$250.69 / $449.55 / $792.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.08 / $652.13 / $1,223.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.98 / $697.67 / $1,315.97
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
$354.88 / $600.90 / $1,527.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.47 / $351.59 / $481.49