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New Hampshire rates for HCPCS 21199

Osteotomy, mandible, segmental; with genioglossus advancement

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
$919.76 / $1,103.20 / $1,325.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $11,483.00 / $21,862.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.13 / $1,697.89 / $2,530.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.48 / $1,146.48 / $1,146.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.23 / $1,891.06 / $3,074.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.49 / $1,859.60 / $3,498.52
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
$1,154.88 / $1,501.43 / $2,862.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.96 / $899.76 / $1,145.14