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New Hampshire rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,225.97 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.06 / $2,156.34 / $2,541.26
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
$1,887.74 / $3,153.01 / $4,968.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,204.04 / $2,204.04 / $2,204.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,527.77 / $3,668.11 / $5,759.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.07 / $3,399.80 / $6,670.14
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
$2,202.44 / $2,994.69 / $5,488.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.11 / $1,680.92 / $2,139.35