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New Hampshire rates for HCPCS 64895

Nerve Graft Mlt Strands Hand/Foot <4 Cm

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
$1,401.65 / $1,551.41 / $1,945.04
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
$1,295.48 / $2,230.91 / $3,438.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,498.38 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.10 / $2,290.21 / $3,652.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.05 / $2,433.09 / $4,577.43
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
$1,483.05 / $1,826.08 / $3,722.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.69 / $1,149.16 / $1,462.57