go back

New Hampshire rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.88 / $345.22 / $484.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $445.67 / $661.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.66 / $590.41 / $1,081.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.29 / $597.78 / $1,089.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.63 / $598.17 / $1,174.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.68 / $312.83 / $437.98