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New Hampshire rates for HCPCS 64640

Dstrj Neurolytic Agent Other Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $638.52 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.57 / $158.97 / $380.88
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,655.61 / $1,655.61 / $1,655.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.83 / $387.83 / $387.83
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
$117.09 / $201.63 / $322.58
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$175.63 / $302.45 / $483.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.89 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.25 / $318.98 / $609.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.33 / $305.14 / $685.01
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
$267.14 / $396.01 / $717.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.52 / $185.88 / $278.12