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New Hampshire rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $59.92 / $90.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $87.71 / $124.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $171.01 / $320.87