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New Hampshire rates for HCPCS 64633

Dstr Nrolytc Agnt Parverteb Fct Sngl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $678.09 / $9,859.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,207.09 / $14,207.09 / $14,207.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.07 / $401.26 / $678.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.88 / $322.86 / $514.19
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$279.95 / $482.11 / $755.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.25 / $572.19 / $1,084.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.23 / $512.70 / $1,185.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.45 / $755.37 / $1,213.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.75 / $334.97 / $544.42