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New Hampshire rates for HCPCS 21348

Optx Nasomax Cplx Fx Left Ii Type W/Bone Graft

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
$1,113.97 / $1,237.01 / $1,427.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $16,696.31 / $29,108.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.79 / $1,829.34 / $2,726.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.70 / $1,243.70 / $1,243.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.01 / $2,066.23 / $3,228.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.25 / $1,921.27 / $3,769.39
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
$1,254.47 / $1,642.76 / $2,977.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.77 / $931.45 / $1,185.48