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New Hampshire rates for HCPCS Q4152

DermaPure, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.41 / $45.41 / $54.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $55.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.84 / $50.71 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $50.71 / $50.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $73.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $106.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $138.00 / $172.50