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New Hampshire rates for HCPCS 64913

Nerve Repair W/Nerve Allograft Ea Addl Strand

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.72 / $242.38 / $242.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.74 / $321.27 / $467.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.21 / $376.98 / $510.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $375.37 / $623.30
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
$241.41 / $314.13 / $530.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.02 / $165.35 / $247.00