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New Hampshire rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,240.75 / $1,589.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.04 / $1,927.52 / $2,873.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.18 / $2,163.59 / $3,450.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.79 / $2,111.11 / $3,971.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.71 / $1,841.09 / $4,096.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.10 / $1,040.71 / $1,324.54