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New Hampshire rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.05 / $1,893.09 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $448.96 / $613.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.23 / $705.22 / $1,104.83
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
$502.66 / $854.38 / $1,489.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.58 / $1,148.53 / $1,837.90
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
$595.44 / $980.93 / $2,081.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.43 / $487.93 / $655.33