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New Hampshire rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,927.81 / $7,394.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.79 / $1,574.36 / $2,606.17
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
$757.57 / $1,285.19 / $1,988.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.44 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.32 / $2,233.17 / $5,008.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.58 / $2,072.89 / $4,817.21
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
$1,915.59 / $2,947.87 / $5,946.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.30 / $1,604.90 / $2,350.07