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New Hampshire rates for HCPCS 21079

Impression & Preparation Interim Obturator Prost

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.46 / $1,593.28 / $1,926.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.48 / $1,904.41 / $2,724.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.51 / $2,638.04 / $4,288.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.45 / $2,430.39 / $4,646.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.68 / $2,429.80 / $4,207.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.83 / $1,367.56 / $1,728.83