go back

New Hampshire rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,417.38 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.33 / $483.77 / $603.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.62 / $590.65 / $850.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.32 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.69 / $782.88 / $1,384.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.06 / $762.28 / $1,457.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.34 / $746.50 / $1,493.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.94 / $438.89 / $645.34