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New Hampshire rates for HCPCS 21025

Excision Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,341.64 / $3,129.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.86 / $848.48 / $1,043.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.99 / $1,081.69 / $1,510.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,134.27 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.31 / $1,454.08 / $2,343.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.41 / $1,334.62 / $2,523.84
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
$960.68 / $1,430.38 / $2,755.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.28 / $764.94 / $1,038.75