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New Hampshire rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.78 / $225.00 / $311.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.44 / $156.72 / $156.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.30 / $191.30 / $191.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.70 / $796.70 / $796.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $297.32 / $584.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.39 / $320.55 / $478.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00