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New Hampshire rates for HCPCS 35905

Excision Infected Graft Thorax

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,723.89 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.70 / $1,936.24 / $1,936.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $8,883.46 / $15,487.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.73 / $3,127.78 / $4,985.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.79 / $3,922.06 / $4,842.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.94 / $3,485.97 / $6,012.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.65 / $3,113.08 / $9,901.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.93 / $1,511.32 / $1,923.50