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New Hampshire rates for HCPCS L0859

Addition To Halo Procedure Magnetic Resonance Image Compatible Systems Rings And Pins Any Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.98 / $820.98 / $985.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.26 / $638.39 / $885.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.04 / $1,458.04 / $1,728.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.05 / $816.05 / $875.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $969.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.52 / $1,180.52 / $3,643.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.94 / $727.41 / $863.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.05 / $1,201.26 / $1,528.87