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Adhesion Barrier

New Hampshire rates for HCPCS C1765

Adhesion barrier

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $776$9120%50%90th$776Professionalmedian $776 · 10th–90th $224$9120%20%40%10th90th$776$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$912.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01