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New Hampshire rates for HCPCS 64772

Transection/Avulsion Oth Spinal Nrv Xdrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,992.02 / $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
$633.79 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$63.12 / $63.12 / $63.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00