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New Hampshire rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,400.22 / $3,764.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.57 / $979.06 / $1,237.34
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
$965.87 / $1,724.74 / $2,771.82
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
$933.88 / $1,587.32 / $2,713.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.72 / $1,912.67 / $3,412.80
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
$1,003.81 / $1,600.94 / $3,389.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.84 / $865.52 / $1,101.58