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New Hampshire rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

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
$818.27 / $914.20 / $1,109.94
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
$784.08 / $1,350.24 / $2,080.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.10 / $1,412.89 / $2,173.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.61 / $1,472.62 / $2,770.47
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
$887.99 / $1,155.99 / $2,292.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.89 / $748.67 / $1,100.54