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New Hampshire rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,885.92 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,013.97 / $2,144.79 / $3,143.07
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
$1,641.91 / $2,869.82 / $4,356.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.68 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.00 / $3,324.19 / $5,649.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.64 / $3,083.74 / $5,801.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.66 / $3,141.29 / $5,697.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.40 / $1,842.94 / $2,345.56