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New Hampshire rates for HCPCS 49906

Free Omental Flap W/Microvascular Anast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.50 / $1,312.50 / $2,705.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.90 / $9,132.04 / $17,364.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.33 / $2,078.69 / $2,078.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.30 / $4,711.85 / $8,190.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.13 / $3,560.15 / $6,352.42
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
$1,815.02 / $3,426.79 / $6,897.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00