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New Hampshire rates for HCPCS 64872

Suture Nerve Req Secondary/Delayed Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $437.66 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.00 / $136.33 / $167.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.60 / $193.04 / $296.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.16 / $130.16 / $130.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.87 / $215.80 / $321.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.75 / $200.98 / $394.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.33 / $179.26 / $339.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.56 / $100.72 / $128.18