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New Hampshire rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.09 / $81.09 / $97.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $81.09 / $100.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $59.38 / $59.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.39 / $1,062.39 / $1,062.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.85 / $1,438.66 / $1,438.66