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New Hampshire rates for HCPCS 54111

Exc Penile Plaque Graft &/5 Cm Length

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,246.76 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.42 / $1,388.56 / $3,246.76
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
$925.09 / $1,516.52 / $2,351.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.22 / $1,643.42 / $2,625.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.09 / $1,763.78 / $2,928.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.37 / $1,350.00 / $3,163.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.97 / $752.36 / $1,187.48