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New Hampshire rates for HCPCS 13133

Repair Complex F/C/C/M/N/Ax/G/H/F Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.00 / $597.66 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.87 / $144.03 / $309.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.65 / $195.44 / $314.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.50 / $274.81 / $508.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.78 / $307.05 / $513.14
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
$183.80 / $283.33 / $609.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $145.19 / $192.84