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New Hampshire rates for HCPCS 65114

Exntj Orbit Rmvl Orb Cnts W/Musc/Myoq Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,965.03 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.46 / $1,484.61 / $3,846.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.20 / $2,378.67 / $4,102.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.69 / $2,751.34 / $3,702.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.26 / $3,109.77 / $6,159.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,833.09 / $2,482.34 / $5,306.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.83 / $1,325.32 / $1,686.78