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New Hampshire rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.26 / $85.89 / $85.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.37 / $79.30 / $104.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $115.40 / $167.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.17 / $166.00 / $254.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $159.91 / $296.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $115.02 / $271.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.15 / $86.11 / $133.38