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New Hampshire rates for HCPCS 64734

Transection/Avulsion Infraorbital Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,454.45 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.65 / $518.74 / $698.29
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
$515.28 / $887.34 / $1,367.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.57 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.86 / $853.01 / $1,376.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.89 / $967.77 / $1,820.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.23 / $688.00 / $1,451.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.87 / $434.36 / $552.82