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New Hampshire rates for HCPCS Q4147

Architect, Architect PX, or Architect FX, extracellular matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $58.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.28 / $48.56 / $48.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $147.22 / $147.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $48.56 / $48.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.22 / $147.22 / $213.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $57.13 / $137.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.56 / $53.42 / $67.98