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New Hampshire rates for HCPCS 64415

Injection Aa&/Strd Brachial Plexus W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.00 / $213.84 / $4,482.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $116.42 / $181.30
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
$67.28 / $116.38 / $178.78
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.92 / $173.79 / $255.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.82 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $166.10 / $322.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.08 / $163.43 / $366.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.66 / $231.68 / $332.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.15 / $94.26 / $141.38