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New Hampshire rates for HCPCS 63650

Prq Impltj Nstim Electrode Array Epidural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,468.67 / $7,909.39
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$293.73 / $293.73 / $293.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.36 / $604.79 / $2,261.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,317.69 / $40,353.00 / $63,632.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.05 / $698.32 / $1,146.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.51 / $5,257.46 / $5,441.47
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$141.10 / $141.10 / $141.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.83 / $1,244.55 / $5,554.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.46 / $2,296.29 / $6,046.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.51 / $2,820.30 / $5,701.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.75 / $615.08 / $2,732.97