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New Hampshire rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $441.47 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.68 / $231.36 / $369.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.57 / $218.79 / $318.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,472.40 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.40 / $310.14 / $630.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.62 / $319.97 / $842.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,624.00 / $3,624.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $409.54 / $759.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.97 / $177.30 / $286.06