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New Hampshire rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.00 / $318.00 / $381.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $381.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $318.00 / $318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $461.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $763.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.24 / $467.76 / $595.34