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New Hampshire rates for HCPCS 21081

Impression & Prepj Mandibular Resection Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.10 / $1,652.45 / $1,997.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.06 / $1,963.17 / $2,833.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.28 / $2,747.54 / $4,518.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.91 / $2,546.19 / $4,843.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.12 / $2,583.83 / $4,383.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.65 / $1,262.13 / $1,514.56