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New Hampshire rates for HCPCS 64893

Nerve Graft 1 Strand Arm/Leg >4 Cm

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
$1,180.34 / $1,310.43 / $1,612.94
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
$1,097.83 / $1,890.57 / $2,913.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.11 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.33 / $1,940.18 / $3,084.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.80 / $2,061.91 / $3,879.11
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
$1,272.94 / $1,660.72 / $3,253.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.87 / $971.16 / $1,236.02