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New Hampshire rates for HCPCS 64712

Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,936.04 / $6,067.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.90 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$67.33 / $67.33 / $67.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00