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New Hampshire rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $66.34 / $79.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $79.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $95.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $152.97