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New Hampshire rates for HCPCS 21275

Secondary Revision Orbitocraniofacial Rcnstj

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
$773.66 / $856.19 / $1,099.52
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
$826.78 / $1,417.77 / $2,113.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.80 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.30 / $1,594.91 / $2,545.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.49 / $1,552.81 / $2,921.34
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
$967.39 / $1,298.36 / $2,548.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.04 / $735.94 / $936.66