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New Hampshire rates for HCPCS 15845

Grf Facial Nerve Paralysis Regional Muscle Tr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,366.77 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.72 / $887.03 / $1,080.17
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
$1,043.17 / $1,590.09 / $2,622.90
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
$1,047.92 / $1,563.88 / $2,725.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.22 / $2,353.55 / $4,248.92
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
$1,194.22 / $1,745.53 / $3,705.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.24 / $941.92 / $1,406.33