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New Hampshire rates for HCPCS Q4251

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $183.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.80 / $153.00 / $153.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.13 / $103.13 / $103.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $222.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $180.00 / $180.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.66 / $153.00 / $183.60