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New Hampshire rates for HCPCS P9020

Platelet Rich Plasma Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.20 / $311.20 / $373.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $292.31 / $311.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.22 / $204.20 / $204.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $57.70 / $143.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.70 / $57.70 / $57.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00