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New Hampshire rates for HCPCS 15221

Fth/Gft Fr W/Dir Clsr S/A/L Ea Addl 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.01 / $486.71 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $106.01 / $150.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $123.24 / $237.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.25 / $153.24 / $325.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $189.41 / $388.68
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
$124.96 / $251.28 / $481.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.06 / $77.08 / $129.72