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New Hampshire rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,326.29 / $5,229.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.20 / $751.82 / $991.13
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
$629.46 / $1,048.48 / $1,472.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.85 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.02 / $1,349.19 / $2,262.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.39 / $1,319.59 / $2,522.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.70 / $1,278.56 / $2,418.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.66 / $620.48 / $744.58