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New Hampshire rates for HCPCS 42600

Closure salivary fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,281.36 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.17 / $455.15 / $688.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.79 / $644.44 / $1,049.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.64 / $768.27 / $1,495.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.53 / $845.03 / $1,696.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.05 / $862.50 / $1,900.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.49 / $384.29 / $488.68