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New Hampshire rates for HCPCS Q4238

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.04 / $1,725.04 / $2,070.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $1,742.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $1,452.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,370.05 / $1,452.25 / $1,452.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $1,452.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $2,107.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.25 / $1,452.25 / $3,485.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.87 / $262.76 / $334.42