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New Hampshire rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00