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New Hampshire rates for HCPCS 14302

Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.33 / $210.29 / $255.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.99 / $317.02 / $522.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.64 / $310.95 / $535.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.10 / $461.69 / $734.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.52 / $345.51 / $749.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.93 / $205.12 / $323.74