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New Hampshire rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.60 / $862.02 / $1,121.86
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
$842.30 / $1,409.55 / $2,152.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.65 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.49 / $1,611.00 / $2,561.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.26 / $1,581.96 / $2,976.19
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
$1,012.47 / $1,438.32 / $2,641.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.93 / $766.62 / $975.70