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New Hampshire rates for HCPCS 15002

Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.97 / $1,168.01 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.81 / $264.77 / $554.46
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
$213.49 / $375.70 / $640.63
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
$238.95 / $453.08 / $866.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.47 / $577.96 / $1,064.42
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
$375.17 / $487.52 / $1,239.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.61 / $281.89 / $418.73