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New Hampshire rates for HCPCS 15731

Forehead Flap W/Preservation Vascular Pedicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.03 / $3,592.06 / $6,013.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.94 / $970.85 / $1,250.83
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
$973.31 / $1,426.51 / $2,126.17
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
$1,069.73 / $1,660.33 / $2,913.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.49 / $2,355.37 / $3,868.84
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
$1,213.15 / $1,656.16 / $3,914.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.67 / $1,018.21 / $1,363.39