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New Hampshire rates for HCPCS Q4106

Dermagraft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.20 / $38.20 / $45.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $38.20 / $38.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $50.94 / $50.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.27 / $49.52 / $72.80