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New Hampshire rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.79 / $1,709.57 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.59 / $437.70 / $555.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.62 / $641.46 / $1,010.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.38 / $780.63 / $1,415.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.91 / $946.02 / $1,633.00
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
$643.48 / $872.61 / $2,893.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.04 / $407.25 / $570.15