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New Hampshire rates for HCPCS 15877

Suction Assisted Lipectomy Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $11,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $656.25 / $656.25
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
$214.24 / $214.24 / $611.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.36 / $898.67 / $1,476.92
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
$553.37 / $1,108.11 / $1,533.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.33 / $2,875.00 / $4,410.00