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New Hampshire rates for HCPCS 13101

Repair Complex Trunk 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.17 / $1,408.23 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.39 / $344.05 / $953.46
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
$239.36 / $428.13 / $737.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.38 / $611.82 / $1,144.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.22 / $662.12 / $1,225.52
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
$384.56 / $613.29 / $1,427.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.47 / $320.35 / $448.49