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New Hampshire rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $857.26 / $2,331.21
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$49.48 / $49.48 / $99.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $93.64 / $158.59
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$143.31 / $143.31 / $143.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $49.05 / $49.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $84.49 / $134.56
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$73.26 / $126.17 / $185.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.31 / $86.31 / $86.31
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$17.26 / $17.26 / $17.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.08 / $141.84 / $275.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.75 / $132.59 / $291.08
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
$129.03 / $207.97 / $308.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $82.93 / $146.29