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New Hampshire rates for HCPCS 15260

Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.84 / $2,331.21 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.71 / $894.00 / $2,342.09
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
$827.42 / $1,245.11 / $1,898.79
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
$929.81 / $1,488.42 / $2,554.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.49 / $2,010.87 / $3,370.15
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
$971.89 / $1,472.09 / $3,511.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.96 / $871.98 / $1,155.90