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New Hampshire rates for HCPCS 21086

Impression & Preparation Auricular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.17 / $5,498.31 / $6,139.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.64 / $1,759.05 / $2,080.84
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
$1,261.51 / $2,082.79 / $2,952.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.92 / $2,222.92 / $2,222.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,808.05 / $2,873.94 / $4,738.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,555.89 / $2,614.16 / $4,997.76
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
$1,805.65 / $2,805.84 / $10,669.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.83 / $1,310.38 / $1,572.46