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New Hampshire rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.59 / $1,210.76 / $1,464.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.25 / $1,634.65 / $2,529.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.92 / $1,883.21 / $3,241.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.27 / $1,790.34 / $3,368.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.47 / $1,695.88 / $3,345.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.41 / $1,000.35 / $1,273.17