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New Hampshire rates for HCPCS 20663

Application Halo Femoral Including Removal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,570.48 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.07 / $482.98 / $620.33
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
$479.70 / $822.60 / $1,272.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.66 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.20 / $873.19 / $1,432.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.15 / $900.94 / $1,694.95
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
$544.09 / $678.24 / $1,425.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.23 / $412.75 / $525.32