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New Hampshire rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.16 / $81.94 / $146.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $75.91 / $75.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.48 / $136.63 / $344.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $75.91 / $75.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.61 / $75.91 / $75.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $123.28 / $234.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $182.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.51 / $44.20 / $66.17