go back

New Hampshire rates for HCPCS 15155

Cltr Skin Agrft F/S/N/H/F/G/M/D Gt 1st 25cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.53 / $2,405.09 / $2,574.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.02 / $584.47 / $777.51
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
$714.86 / $1,029.16 / $1,503.35
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
$780.29 / $1,221.07 / $2,059.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.83 / $1,699.49 / $2,746.46
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
$818.36 / $1,272.06 / $2,808.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.86 / $678.44 / $813.20