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New Hampshire rates for HCPCS A2016

PermeaDerm B, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $112.20 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $123.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $208.93 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $275.42
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,981.07