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New Hampshire rates for HCPCS 15922

Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,630.27 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $724.44 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,412.54 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $2,137.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,445.44 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $2,754.23
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $1,023.29