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New Hampshire rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $5,737.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.10 / $1,942.03 / $2,383.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.84 / $2,925.52 / $4,292.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,963.51 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,088.52 / $2,969.72 / $4,683.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.82 / $3,059.59 / $6,002.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.50 / $2,456.92 / $4,940.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,331.70 / $1,464.87 / $1,864.38