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New Hampshire rates for HCPCS 64630

Dstrj Neurolytic Agent Pudendal Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $700.49 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.30 / $244.67 / $330.51
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
$188.26 / $310.22 / $426.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.19 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.82 / $397.83 / $629.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.25 / $411.56 / $766.76
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
$295.49 / $383.25 / $700.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.33 / $191.81 / $230.17