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New Hampshire rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,548.82 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,412.54 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,137.96 / $4,897.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,862.09 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,819.70 / $3,890.45