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New Hampshire rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.55 / $123.14 / $152.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $180.20 / $203.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.53 / $841.53 / $841.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.90 / $266.88 / $402.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.12 / $256.22 / $457.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.22 / $185.20 / $307.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.53 / $136.97 / $174.34