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New Hampshire rates for HCPCS 20956

Bone Graft Microvascular Anast Iliac Crest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,385.49 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,414.55 / $2,756.18 / $3,467.72
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
$2,574.46 / $4,414.72 / $6,580.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,983.13 / $2,983.13 / $2,983.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,424.78 / $4,936.20 / $7,711.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,947.22 / $4,636.57 / $9,096.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,094.58 / $4,476.89 / $7,963.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.91 / $2,287.90 / $2,911.87