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New Hampshire rates for HCPCS 21198

Osteotomy, mandible, segmental;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.25 / $1,203.71 / $1,408.57
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
$984.63 / $1,688.45 / $2,612.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.85 / $1,137.85 / $1,137.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.17 / $1,929.57 / $3,043.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.19 / $1,849.27 / $3,479.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.82 / $1,872.30 / $3,455.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.01 / $963.61 / $1,226.41