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New Hampshire rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.14 / $2,369.71 / $2,814.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $632.23 / $833.54
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
$634.96 / $965.58 / $1,485.48
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
$706.59 / $1,185.32 / $1,953.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.40 / $1,573.17 / $2,586.23
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
$874.33 / $1,296.11 / $2,797.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.47 / $631.19 / $757.43