go back

New Hampshire rates for HCPCS 21215

Graft Bone Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,046.21 / $12,675.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.83 / $3,046.21 / $4,564.43
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
$787.87 / $1,336.23 / $2,131.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.47 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.74 / $3,477.43 / $11,711.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.76 / $4,182.97 / $11,014.58
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
$4,078.20 / $7,109.12 / $13,597.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.38 / $2,734.65 / $4,711.01