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New Hampshire rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,045.85 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,308.64 / $2,568.96 / $3,222.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,371.32 / $4,066.38 / $6,061.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.30 / $2,764.30 / $2,764.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,161.83 / $4,625.29 / $7,209.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.67 / $4,270.72 / $8,378.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,714.67 / $3,764.23 / $6,804.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.64 / $2,124.80 / $2,704.30