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New Hampshire rates for HCPCS 64405

Injection Aa&/Strd Greater Occipital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $266.66 / $8,965.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,403.45 / $3,403.45 / $3,403.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $99.72 / $163.72
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$53.06 / $489.03 / $489.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.51 / $85.38 / $135.86
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$77.14 / $132.24 / $203.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $121.58 / $197.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.27 / $116.81 / $209.49
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
$83.73 / $143.88 / $213.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $66.23 / $106.68