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New Hampshire rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.38 / $917.63 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $210.11 / $461.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.52 / $301.19 / $497.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.21 / $428.96 / $777.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.17 / $473.44 / $826.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.33 / $443.12 / $961.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.03 / $225.97 / $357.76