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New Hampshire rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,957.33 / $4,478.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.63 / $1,212.24 / $1,533.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.33 / $1,911.49 / $2,932.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.04 / $1,324.04 / $1,324.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.64 / $2,309.05 / $3,432.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.45 / $2,066.32 / $4,053.96
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
$1,526.86 / $1,993.61 / $3,241.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.73 / $1,012.80 / $1,289.02