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New Hampshire rates for HCPCS 64763

Trnsxj/Avlsn Obturat Nrv Xpelv W/Wo Tenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,929.42 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.78 / $596.86 / $753.42
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
$508.49 / $875.66 / $1,349.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.41 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.92 / $914.30 / $1,414.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.11 / $955.01 / $1,796.68
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
$571.96 / $788.63 / $1,459.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.13 / $444.54 / $565.78