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New Hampshire rates for HCPCS 15650

Transfer Any Pedicle Flap Any Location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.36 / $1,806.06 / $9,632.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.08 / $391.34 / $562.66
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
$398.51 / $640.97 / $1,026.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.32 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.63 / $766.55 / $1,356.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.80 / $1,039.89 / $1,705.76
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
$555.17 / $750.15 / $1,804.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.50 / $405.55 / $486.66