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New Hampshire rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $401.13 / $8,965.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00