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New Hampshire rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$478.63 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $199.53 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $407.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $229.09 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $239.88 / $436.52
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $213.80