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New Hampshire rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.31 / $596.83 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.83 / $221.55 / $459.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.91 / $723.91 / $723.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.17 / $338.44 / $579.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.75 / $462.06 / $891.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.36 / $520.04 / $962.55
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
$301.25 / $506.03 / $1,172.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.22 / $239.27 / $334.98