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New Hampshire rates for HCPCS 64611

Chemodenervation of parotid and submandibular salivary glands, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $190.55 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $199.53 / $346.74
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $208.93 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $331.13
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $158.49