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New Hampshire rates for HCPCS E1353

Regulator (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $15.05 / $19.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $17.29 / $27.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.57 / $39.57 / $46.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $19.64 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $25.17 / $29.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $25.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $32.27 / $99.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $19.73 / $31.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.61 / $29.27 / $37.25