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Blue Cross Blue Shield (NH)

Filed by 1 hospital, with rates for 2,643 billing codes.

State

Hospitals filing the most Blue Cross Blue Shield (NH) rates

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1 hospital file Blue Cross Blue Shield (NH) rates

#
1	Gifford Medical Center Randolph, VT	4	24,146

Most widely filed procedures

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Procedure
Pfizer COVID-19 vaccine, first dose CPT 0001A · facility · percent of total billed charges · inpatient	1	$43	$43	—	—	—	$43 – $43
Second dose of Pfizer COVID-19 vaccine CPT 0002A · facility · percent of total billed charges · inpatient	1	$43	$43	—	—	—	$43 – $43
Pfizer COVID-19 booster vaccine administration CPT 0004A · facility · percent of total billed charges · inpatient	1	$43	$43	—	—	—	$43 – $43
Moderna COVID-19 vaccine, first dose administration CPT 0011A · facility · percent of total billed charges · inpatient	1	$43	$43	—	—	—	$43 – $43
Image-guided orthopedic surgery navigation add-on CPT 0054T · facility · percent of total billed charges · inpatient	1	$490	$490	—	—	—	$490 – $490
Image-guided computer navigation for orthopedic surgery CPT 0055T · facility · percent of total billed charges · inpatient	1	$909	$909	—	—	—	$909 – $909
Moderna low-dose COVID-19 booster vaccine administration CPT 0064A · facility · percent of total billed charges · inpatient	1	$43	$43	—	—	—	$43 – $43
Shockwave therapy for musculoskeletal treatment CPT 0101T · facility · percent of total billed charges · inpatient	1	$72	$72	$1	2%	—	$70 – $73
Multi-target respiratory virus RNA test (COVID-19, flu A/B, RSV) CPT 0241U · facility · fee schedule · outpatient	1	$703	$703	—	—	—	$703 – $703
Ultrasound-guided needle biopsy of first lesion CPT 10005 · professional · fee schedule · both	1	$82	$82	$13	15%	—	$70 – $95

Plans

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Plan	Hospitals	Codes
commercial	1	2,643
qualified health plan	1	2,583
shop off exchange	1	2,643
shop on exchange	1	2,583