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New Hampshire rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $1,850.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,793.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.82 / $1,494.41 / $1,494.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,494.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,168.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,405.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.88 / $2,474.39 / $3,471.47