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New Hampshire rates for HCPCS 90958

Esrd Related Svc Monthly 12-19 Yr Old 2/3 Visits

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,339.21 / $1,339.21 / $1,339.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $439.18 / $586.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.07 / $583.21 / $817.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.77 / $705.46 / $1,272.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.75 / $827.62 / $1,702.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.73 / $725.97 / $1,289.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.49 / $371.24 / $472.49