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New Hampshire rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,678.80 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.68 / $1,608.22 / $2,044.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.00 / $2,314.46 / $3,566.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,553.88 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.02 / $2,423.59 / $3,785.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.60 / $2,524.23 / $4,748.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.60 / $1,897.96 / $3,993.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.96 / $1,191.26 / $1,516.14