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New Hampshire rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.17 / $89.84 / $89.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.72 / $170.79 / $170.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $316.27 / $443.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.22 / $541.89 / $719.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.68 / $506.68 / $812.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.52 / $286.19 / $461.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.08 / $203.34 / $311.91