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New Hampshire rates for HCPCS 99455

Work Related/Med Dblt Xm Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $84.95 / $125.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.75 / $201.75 / $201.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.95 / $2,875.00 / $4,410.00