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New Hampshire rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,569.50 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,926.67 / $2,484.48 / $3,608.16
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
$2,681.85 / $4,468.06 / $6,855.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,106.91 / $3,106.91 / $3,106.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,494.32 / $5,141.99 / $8,033.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,070.16 / $4,829.97 / $9,476.04
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
$3,118.73 / $3,785.42 / $7,459.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.94 / $2,381.42 / $3,030.92