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New Hampshire rates for HCPCS 78473

Card Bl Pool Gated Mlt Stdy Wal Motn Eject Fract

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.39 / $284.52 / $284.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.17 / $338.03 / $338.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.57 / $373.75 / $541.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.57 / $628.36 / $864.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.41 / $517.92 / $1,036.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.82 / $387.53 / $548.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.34 / $282.41 / $415.14