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New Hampshire rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $915.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.98 / $762.88 / $762.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $762.87 / $762.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $919.55 / $1,334.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $1,997.50 / $1,997.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $839.17 / $1,068.03