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New Hampshire rates for HCPCS E0300

Pediatric Crib Hospital Grade Fully Enclosed With Or Without Top Enclosure (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.17 / $1,437.17 / $1,724.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.17 / $1,493.53 / $1,743.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.20 / $1,505.20 / $1,505.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $2,008.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.64 / $1,305.96 / $2,270.90