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New Hampshire rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,723.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.19 / $1,717.39 / $2,143.82
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
$1,592.74 / $2,731.26 / $4,071.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,858.64 / $1,858.64 / $1,858.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,136.35 / $2,947.64 / $4,842.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.36 / $2,991.40 / $5,627.80
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
$1,876.56 / $2,609.41 / $4,929.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.22 / $1,420.34 / $1,807.71