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New Hampshire rates for HCPCS 61791

Create Les Strtctc Prq Neurolytic Trigeminal Trc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,739.41 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.98 / $1,550.57 / $3,739.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.61 / $2,167.23 / $3,176.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.79 / $2,362.96 / $3,415.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.31 / $2,549.80 / $4,233.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.33 / $1,943.55 / $4,393.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.15 / $964.87 / $1,228.01