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New Hampshire rates for HCPCS 21196

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,384.37 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.96 / $1,525.87 / $1,846.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.66 / $2,379.59 / $3,547.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.88 / $1,599.88 / $1,599.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.63 / $2,563.54 / $4,230.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.59 / $2,606.23 / $4,903.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.10 / $2,254.42 / $3,939.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.58 / $1,349.50 / $1,983.76