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New Hampshire rates for HCPCS 21073

Manipulation Tmj Therapeutic Require Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $845.45 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.62 / $368.93 / $474.27
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
$244.44 / $405.05 / $588.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.47 / $416.47 / $416.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.34 / $565.85 / $1,058.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.35 / $568.17 / $1,128.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.03 / $627.29 / $2,467.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.06 / $306.50 / $429.10