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New Hampshire rates for HCPCS Q4115

Alloskin Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $14.48 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $15.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $12.86 / $12.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $18.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $13.91