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New Hampshire rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,698.48 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,580.52 / $2,541.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $16,696.31 / $29,108.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.36 / $2,696.32 / $4,019.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,815.11 / $1,815.11 / $1,815.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.55 / $3,051.60 / $4,767.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.03 / $2,831.81 / $5,555.79
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
$1,800.03 / $2,495.16 / $5,552.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.60 / $1,545.13 / $2,271.34