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New Hampshire rates for HCPCS 64822

Sympathectomy; ulnar artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,341.64 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.92 / $803.22 / $980.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.51 / $1,194.27 / $1,840.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.54 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.41 / $1,250.33 / $1,913.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.92 / $1,302.51 / $2,450.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.47 / $1,030.35 / $2,018.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.87 / $604.86 / $769.82