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New Hampshire rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,421.83 / $2,540.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.07 / $562.41 / $1,147.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.49 / $609.59 / $865.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.29 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.38 / $930.54 / $1,752.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.24 / $836.10 / $1,720.37
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
$704.22 / $1,021.12 / $2,097.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.92 / $412.89 / $642.59