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New Hampshire rates for HCPCS 64634

Dstr Nrolytc Agnt Parverteb Fct Addl Crvcl/Thora

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $312.06 / $8,311.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,068.81 / $8,068.81 / $8,068.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.48 / $191.53 / $312.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.69 / $111.91 / $183.77
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$97.03 / $167.11 / $245.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $114.34 / $114.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.58 / $224.60 / $615.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.13 / $263.50 / $662.01
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
$238.27 / $347.31 / $557.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.33 / $150.99 / $251.52