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New Hampshire rates for HCPCS 64605

Dstrj Neurolytic Trigeminal Nrv 2/3 Div Branch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,210.72 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.90 / $626.08 / $966.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.97 / $720.86 / $1,116.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.87 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.53 / $974.42 / $1,714.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.49 / $1,098.55 / $2,466.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.18 / $1,049.99 / $4,431.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.44 / $497.79 / $696.91