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New Hampshire rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.96 / $1,442.42 / $1,778.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.98 / $1,798.54 / $2,521.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.03 / $2,368.34 / $3,929.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.79 / $2,218.44 / $4,197.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.43 / $2,144.00 / $4,208.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.51 / $1,110.57 / $1,332.68