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New Hampshire rates for HCPCS 20936

Autograft Spine Surgery Local From Same Incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $149.13 / $13,666.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $131.84 / $162.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.51 / $208.45 / $294.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.24 / $140.24 / $140.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.15 / $237.07 / $373.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.60 / $219.62 / $430.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.49 / $192.89 / $379.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $3,125.00 / $4,735.00