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New Hampshire rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,859.00 / $20,920.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,847.77 / $5,847.77 / $20,920.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $17,300.00 / $28,708.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,090.39 / $10,873.16 / $16,621.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,413.87 / $12,430.32 / $16,887.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,342.50 / $12,582.25 / $20,892.83
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
$7,543.41 / $9,116.31 / $17,652.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,620.99 / $5,083.09 / $6,469.39