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New Hampshire rates for HCPCS C1765

Adhesion Barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.94 / $767.94 / $1,780.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.13 / $459.79 / $767.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.51 / $903.51 / $903.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98