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New Hampshire rates for HCPCS Q4187

Epicord Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.87 / $241.87 / $290.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $290.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.42 / $245.30 / $245.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $245.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.30 / $245.30 / $356.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.48 / $245.30 / $390.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.26 / $416.08 / $499.30