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New Hampshire rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,652.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.20 / $1,377.00 / $1,377.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $2,564.39 / $4,250.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $2,623.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.85 / $1,112.93 / $3,500.00