go back

New Hampshire rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,248.82 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.46 / $1,341.04 / $4,248.82
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
$1,294.25 / $2,034.84 / $2,973.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.89 / $2,454.82 / $3,513.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.90 / $2,554.94 / $4,242.47
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
$1,571.33 / $2,024.96 / $3,521.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.15 / $1,000.07 / $1,272.81