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New Hampshire rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.37 / $533.76 / $1,461.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.95 / $2,303.27 / $3,257.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.53 / $1,713.22 / $8,933.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.48 / $511.01 / $762.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.73 / $493.58 / $914.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.24 / $2,111.90 / $7,723.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.33 / $266.56 / $339.26