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New Hampshire rates for HCPCS 14301

Adjnt Tis Trnsfr/Reargmt Any Area 30.1-60 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.83 / $999.64 / $6,254.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.96 / $948.80 / $1,627.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.10 / $1,314.06 / $2,050.79
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$118.87 / $183.96 / $287.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.46 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.20 / $1,572.19 / $2,696.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.54 / $2,153.07 / $3,458.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.88 / $1,819.89 / $3,788.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.97 / $955.64 / $1,282.49