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New Hampshire rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $278.27 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.45 / $174.87 / $286.41
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
$82.48 / $142.69 / $227.25
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$123.72 / $213.07 / $312.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.26 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.32 / $249.73 / $570.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.08 / $262.64 / $621.57
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
$243.01 / $346.35 / $621.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.66 / $168.23 / $258.92