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New Hampshire rates for HCPCS 64417

Injection Aa&/Strd Axillary Nerve W/Img Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $265.00 / $8,965.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$46.98 / $46.98 / $46.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.73 / $119.28 / $190.73
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
$62.62 / $107.99 / $171.98
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$93.64 / $161.26 / $236.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.60 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.82 / $179.51 / $385.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.02 / $186.24 / $440.43
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
$171.00 / $230.61 / $395.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $109.13 / $163.69