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New Hampshire rates for HCPCS 64636

Dstr Nrolytc Agnt Parverteb Fct Addl Lmbr/Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.03 / $280.94 / $3,262.34
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$0.74 / $1,226.48 / $6,524.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.20 / $172.53 / $280.95
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$87.12 / $87.12 / $87.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.57 / $98.35 / $161.71
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.39 / $147.05 / $215.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.61 / $100.61 / $100.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.47 / $212.26 / $579.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.63 / $231.87 / $621.20
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
$202.10 / $301.89 / $508.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $137.81 / $226.53