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New Hampshire rates for HCPCS A6509

Compression Burn Garment Upper Trunk To Waist Including Arm Openings (Vest) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.07 / $267.07 / $267.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26