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New Hampshire rates for HCPCS 78635

Cerebrospinal Fluid Flow W/O Matl Ventriclgraphy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.10 / $1,062.14 / $1,062.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.55 / $327.33 / $327.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.11 / $1,578.60 / $1,753.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.06 / $430.26 / $623.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.64 / $2,649.12 / $3,239.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.60 / $716.92 / $1,001.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.23 / $596.23 / $1,205.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.88 / $434.62 / $633.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.12 / $305.93 / $389.37