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New Hampshire rates for HCPCS 15734

Musc Myocutaneous/Fasciocutaneous Flap Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,331.21 / $4,756.88 / $37,593.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.98 / $1,333.74 / $2,224.17
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
$1,466.27 / $2,234.98 / $3,686.69
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
$1,354.62 / $2,190.92 / $3,779.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.57 / $3,308.12 / $5,972.18
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
$1,453.32 / $2,313.11 / $5,213.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.40 / $1,314.48 / $1,779.39