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New Hampshire rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $2.63 / $4.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.07 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.67 / $0.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.73 / $0.92