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New Hampshire rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,685.99 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.36 / $930.67 / $3,685.99
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
$1,292.49 / $2,221.69 / $3,233.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.73 / $2,637.02 / $3,752.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.44 / $2,704.79 / $4,491.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.07 / $2,550.92 / $6,820.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.17 / $1,121.30 / $1,818.28