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New Hampshire rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,387.17 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.58 / $2,289.34 / $2,792.19
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
$2,628.80 / $4,007.02 / $6,609.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.40 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,699.20 / $4,257.30 / $6,827.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,009.43 / $5,835.42 / $9,288.61
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
$2,968.67 / $4,458.75 / $9,430.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,143.36 / $2,357.69 / $3,000.70