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New Hampshire rates for HCPCS 14040

Adjt Tis Trns/Reargmt F/C/C/M/N/A/G/H/F 10sqcm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.92 / $2,300.13 / $5,195.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.08 / $691.63 / $1,605.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,242.00 / $1,242.00 / $1,242.00
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
$611.35 / $935.24 / $1,445.91
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
$688.33 / $1,131.22 / $1,890.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.43 / $1,531.27 / $2,490.07
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
$740.06 / $1,229.23 / $2,658.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.22 / $675.77 / $898.83