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New Hampshire rates for HCPCS 64555

Prq Impltj Neurostimulator Eltrd Peripheral Nrv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $782.29 / $98,909.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.58 / $241.88 / $1,785.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,317.69 / $40,353.00 / $63,632.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.32 / $543.97 / $901.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.57 / $555.57 / $555.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.60 / $850.03 / $5,259.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.53 / $2,146.14 / $5,651.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.60 / $2,788.94 / $13,390.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.72 / $375.70 / $2,288.51