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New Hampshire rates for HCPCS 99204

Office/Outpatient New Moderate Mdm 45 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.92 / $158.24 / $444.44
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$133.66 / $133.66 / $178.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.35 / $161.88 / $326.02
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$112.35 / $182.34 / $469.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.72 / $187.26 / $391.36
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$164.99 / $200.45 / $391.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.16 / $708.04 / $1,668.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.86 / $201.34 / $317.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $175.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.84 / $235.28 / $388.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.02 / $281.49 / $525.67
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.23 / $280.80 / $413.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.09 / $230.09 / $425.90
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.46 / $135.07 / $188.38