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New Hampshire rates for HCPCS 14000

Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.62 / $1,765.83 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.66 / $485.77 / $616.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.84 / $773.27 / $1,211.57
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
$570.80 / $947.79 / $1,586.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.07 / $1,259.84 / $2,023.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.60 / $1,021.17 / $2,213.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.60 / $548.04 / $746.58