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New Hampshire rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.38 / $895.05 / $1,096.11
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
$827.42 / $1,418.88 / $2,131.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.80 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.07 / $1,603.37 / $2,504.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.23 / $1,554.03 / $2,923.63
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
$983.23 / $1,359.05 / $2,578.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.23 / $746.05 / $949.52