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New Hampshire rates for HCPCS 63706

Repair Myelomeningocele > 5 Cm Diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $6,113.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.29 / $2,057.34 / $2,572.96
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
$1,838.90 / $3,166.71 / $4,646.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,122.21 / $2,122.21 / $2,122.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,264.15 / $3,219.48 / $5,046.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,105.16 / $3,311.84 / $6,497.58
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
$2,059.57 / $2,523.40 / $5,323.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.31 / $1,579.94 / $2,010.83