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New Hampshire rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,901.21 / $5,901.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.87 / $1,736.89 / $2,259.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $7,096.40 / $13,494.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.07 / $3,039.38 / $4,884.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.96 / $3,213.05 / $5,230.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.52 / $3,370.55 / $6,014.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.76 / $2,512.01 / $5,160.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.77 / $1,507.85 / $1,919.08