go back

New Hampshire rates for HCPCS 20500

Injection Sinus Tract Therapeutic Separate Proc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $341.99 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.16 / $104.81 / $152.19
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
$106.31 / $156.40 / $237.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.74 / $152.74 / $152.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.62 / $198.16 / $348.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.75 / $197.35 / $360.98
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
$143.05 / $187.68 / $387.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $98.81 / $126.66