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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
$789.07 / $1,459.55 / $2,160.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.33 / $1,245.81 / $1,950.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.56 / $2,169.06 / $4,660.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.87 / $1,978.00 / $4,465.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.06 / $2,537.85 / $4,875.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.30 / $836.23 / $1,655.50