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New Hampshire rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.78 / $204.78 / $204.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.15 / $276.23 / $276.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.70 / $615.54 / $794.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.44 / $272.44 / $272.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $195.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.51 / $198.51 / $244.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.36 / $575.46 / $1,066.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.58 / $245.96 / $341.01