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New Hampshire rates for HCPCS 20501

Injection of sinus tract; diagnostic (sinogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $478.63 / $9,772.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $7,413.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $7,413.10
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82