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New Hampshire rates for HCPCS A0425

Ground mileage, per statute mile

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $5.21 / $272.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $6.12 / $6.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $15.17 / $19.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $7.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.12 / $16.26 / $30.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $8.98 / $11.54