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New Hampshire rates for HCPCS 15273

App Skn Subgrft T/A/L Area/100sq Cm 1st 100sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.59 / $224.56 / $310.39
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
$187.29 / $332.64 / $570.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.48 / $402.65 / $785.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.29 / $512.16 / $947.99
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
$361.11 / $530.50 / $1,196.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.98 / $253.93 / $371.09