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New Hampshire rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,640.88 / $10,345.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.82 / $3,174.52 / $3,675.09
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
$2,719.37 / $4,539.29 / $6,950.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,184.07 / $3,184.07 / $3,184.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,624.62 / $5,276.30 / $8,243.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,113.11 / $4,897.54 / $9,608.61
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
$3,193.59 / $4,141.22 / $8,419.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.44 / $2,420.50 / $3,080.63