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New Hampshire rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,281.43 / $9,944.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.05 / $2,544.69 / $3,386.62
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
$2,508.15 / $4,301.02 / $6,411.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.56 / $2,934.56 / $2,934.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,345.94 / $5,026.60 / $7,602.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,871.31 / $4,517.14 / $8,862.29
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
$3,134.32 / $4,363.58 / $7,762.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.36 / $2,232.30 / $2,841.10