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New Hampshire rates for HCPCS 14061

Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.26 / $3,030.49 / $3,607.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.82 / $883.40 / $2,423.25
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
$799.61 / $1,224.59 / $1,895.03
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
$900.87 / $1,484.34 / $2,473.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.98 / $2,006.87 / $3,256.83
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
$1,041.47 / $1,470.38 / $3,495.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.96 / $888.72 / $1,147.89