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New Hampshire rates for HCPCS G0517

Removal of nonbiodegradable drug delivery implants, four or more (services for subdermal implants)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $192.11 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $146.71 / $258.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $206.96 / $363.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $173.49 / $173.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $321.69 / $666.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.79 / $488.64 / $838.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.39 / $133.55 / $245.66