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New Hampshire rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.93 / $52.47 / $287.30
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.41 / $14.20 / $94.58
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.52 / $33.00 / $91.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.38 / $5.38 / $35.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $65.95 / $102.25
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$4.57 / $17.98 / $27.89
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.32 / $47.96 / $74.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.24 / $44.06 / $121.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.38 / $11.06 / $43.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.86 / $31.73 / $90.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.18 / $59.27 / $146.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.22 / $16.57 / $37.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.65 / $53.35 / $115.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.95 / $43.25 / $75.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.75 / $12.06 / $12.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.35 / $31.19 / $54.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $45.39 / $68.05
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.92 / $10.68 / $14.46
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.01 / $33.61 / $57.20