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New Hampshire rates for HCPCS 51792

Stimulus Evoked Response

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.75 / $280.55 / $345.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.86 / $396.52 / $618.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.04 / $437.53 / $868.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.32 / $459.89 / $865.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.70 / $404.38 / $686.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.85 / $234.59 / $354.30