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New Hampshire rates for HCPCS 64612

Chemodnrvtj Musc Musc Innervated Facial Nrv Unil

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $489.39 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.71 / $146.68 / $244.42
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$78.90 / $236.70 / $236.70
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
$117.17 / $188.51 / $272.79
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$174.67 / $293.01 / $410.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.85 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.26 / $244.19 / $362.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.38 / $230.50 / $431.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.58 / $232.57 / $386.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.42 / $127.17 / $175.04