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New Hampshire rates for HCPCS 64561

Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,678.80 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.44 / $634.00 / $1,458.88
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
$294.94 / $506.34 / $831.89
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$441.04 / $759.51 / $1,215.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.84 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.77 / $904.74 / $1,836.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.43 / $835.81 / $1,968.63
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
$793.62 / $1,322.60 / $2,281.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.64 / $663.04 / $1,141.63