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New Hampshire rates for HCPCS 64620

Dstrj Neurolytic Agent Intercostal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $599.66 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.88 / $217.59 / $352.59
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
$174.02 / $278.57 / $393.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.72 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.55 / $342.09 / $534.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.87 / $353.82 / $662.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.08 / $407.53 / $617.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $164.38 / $197.26