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New Hampshire rates for HCPCS Q4261

Tag, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $615.26 / $738.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.30 / $615.26 / $615.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.46 / $660.51 / $660.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $892.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.59 / $723.84 / $723.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $2,920.00 / $3,000.00