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New Hampshire rates for HCPCS 78650

Cerebrospinal Fluid Leak Detection&Localizatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.44 / $1,135.43 / $1,135.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.02 / $336.00 / $336.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.37 / $1,265.98 / $1,406.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.16 / $345.25 / $500.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.81 / $2,194.82 / $7,857.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.89 / $590.25 / $987.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.81 / $478.44 / $3,253.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $354.79 / $508.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.91 / $249.60 / $317.67