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New Hampshire rates for HCPCS 15121

Split Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea 1 %

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.32 / $941.94 / $2,678.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00