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New Hampshire rates for HCPCS 64517

Injection Anes Superior Hypogastric Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $432.06 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.62 / $174.26 / $256.20
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
$123.23 / $205.67 / $301.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.88 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.13 / $280.68 / $479.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.60 / $280.98 / $533.29
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
$237.57 / $320.61 / $568.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.46 / $152.28 / $228.42