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New Hampshire rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,186.00 / $3,764.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.81 / $920.29 / $2,258.63
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
$907.00 / $1,619.61 / $2,602.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.32 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.71 / $1,636.59 / $2,567.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.32 / $1,796.09 / $3,204.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.00 / $4,574.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.32 / $1,547.35 / $2,746.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.41 / $824.35 / $1,049.17