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New Hampshire rates for HCPCS Q4166

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $20.85 / $25.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $23.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $28.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $19.97 / $31.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.75 / $18.43 / $23.45