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New Hampshire rates for HCPCS Q4194

Novachor Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.78 / $717.78 / $861.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $796.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.05 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $963.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $849.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.00 / $992.80 / $1,428.00