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New Hampshire rates for HCPCS 15630

Delay Flap/Sctj Flap Eyelids Nose Ears/Lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.80 / $1,621.55 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.50 / $356.19 / $476.51
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
$338.67 / $545.48 / $874.61
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
$380.67 / $672.63 / $1,159.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.75 / $883.73 / $1,453.18
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
$515.39 / $705.77 / $1,630.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $402.73 / $602.80