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New Hampshire rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.90 / $898.02 / $1,125.60
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
$884.35 / $1,473.36 / $2,260.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.02 / $1,565.90 / $2,571.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.40 / $1,660.94 / $3,124.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$941.45 / $1,382.73 / $2,416.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.83 / $755.51 / $961.56