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New Hampshire rates for HCPCS 15738

Musc Myocutaneous/Fasciocutaneous Flap Lxtr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,228.36 / $4,465.16 / $5,077.87
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$2,232.58 / $2,232.58 / $2,538.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.29 / $1,211.20 / $1,553.22
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
$1,233.05 / $1,879.50 / $3,100.29
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
$1,264.02 / $2,087.94 / $3,215.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.58 / $2,781.95 / $5,022.26
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
$1,696.72 / $2,594.96 / $5,385.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.23 / $1,212.44 / $1,654.24