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New Hampshire rates for HCPCS 15740

Flap Island Pedicle Anatomic Named Axial Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.23 / $3,067.45 / $3,584.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.47 / $813.25 / $1,017.78
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
$825.48 / $1,254.72 / $1,929.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.94 / $1,503.17 / $2,542.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.55 / $2,043.46 / $3,362.25
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
$826.30 / $1,629.90 / $3,514.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.96 / $886.68 / $1,147.89