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New Hampshire rates for HCPCS 21347

Optx Nasomax Cplx Fx Left Ii Type Req Mlt Opn

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
$1,071.08 / $1,166.09 / $1,348.36
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
$1,014.39 / $1,739.49 / $2,592.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.55 / $1,166.55 / $1,166.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.17 / $1,980.50 / $3,094.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.26 / $1,826.89 / $3,584.23
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
$1,247.96 / $1,752.85 / $3,105.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.99 / $881.09 / $1,121.39