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New Hampshire rates for HCPCS 14041

Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,356.16 / $2,840.03 / $3,365.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.33 / $837.64 / $2,337.59
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
$745.91 / $1,138.71 / $1,757.47
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
$837.38 / $1,381.05 / $2,298.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.95 / $1,861.20 / $3,038.13
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
$962.28 / $1,621.01 / $3,819.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.64 / $827.72 / $1,098.32