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New Hampshire rates for HCPCS 38200

Injection Procedure Splenoportograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $529.02 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.20 / $129.19 / $178.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $251.67 / $367.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.16 / $240.81 / $386.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.19 / $245.98 / $468.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.82 / $199.79 / $371.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.11 / $114.52 / $145.75