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New Hampshire rates for HCPCS 20924

Tendon Graft From A Distance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,790.22 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.83 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.12 / $57.12 / $57.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00