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New Hampshire rates for HCPCS 14020

Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.65 / $2,331.21 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.56 / $602.64 / $721.18
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
$556.67 / $859.16 / $1,337.89
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
$636.87 / $1,048.49 / $1,754.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.13 / $1,411.60 / $2,267.41
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
$804.59 / $1,134.14 / $2,452.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.60 / $609.94 / $827.93