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New Hampshire rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.99 / $2,968.59 / $3,418.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.54 / $942.19 / $1,138.16
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
$701.01 / $1,153.54 / $1,638.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.44 / $1,228.44 / $1,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.39 / $1,591.90 / $2,539.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.00 / $1,453.34 / $2,778.50
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
$989.81 / $1,429.65 / $2,706.27
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.09 / $712.16 / $854.59