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New Hampshire rates for HCPCS 64615

Chemodervate Facial/Trigem/Cerv Musc Migraine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $209.84 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $152.97 / $221.26
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
$120.01 / $199.96 / $284.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.55 / $208.55 / $208.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.72 / $252.99 / $375.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.86 / $250.11 / $478.16
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
$170.34 / $234.55 / $438.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.73 / $132.08 / $177.08