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New Hampshire rates for HCPCS G0429

Dermal Filler Injection(S) For The Treatment Of Facial Lipidystrophy Syndrome (Lds) (E.G. As A Result Of Highly Active Antiretroviral Therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.41 / $83.68 / $100.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $101.68 / $169.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $175.33 / $311.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.01 / $157.22 / $339.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.50 / $76.22 / $106.71