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New Hampshire rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $489.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.80 / $408.00 / $408.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $592.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $480.00 / $480.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $448.80 / $571.20