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New Hampshire rates for HCPCS 15574

Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,283.04 / $2,691.37 / $3,157.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.61 / $719.00 / $982.65
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
$707.42 / $1,067.08 / $1,638.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.77 / $1,311.51 / $2,231.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.82 / $1,726.83 / $2,881.37
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
$861.15 / $1,375.75 / $3,420.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.48 / $784.29 / $1,069.33