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New Hampshire rates for HCPCS 21296

Reduction Masseter Muscle & Bone Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,511.27 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.90 / $441.12 / $521.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.16 / $684.48 / $1,020.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.80 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.76 / $779.67 / $1,218.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.95 / $749.67 / $1,410.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.76 / $620.61 / $1,106.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.88 / $354.07 / $450.63