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New Hampshire rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

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
$645.23 / $710.44 / $898.43
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
$681.22 / $1,168.16 / $1,741.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.40 / $783.40 / $783.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.00 / $1,237.63 / $2,044.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.85 / $1,279.42 / $2,407.01
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
$769.19 / $992.89 / $1,955.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.50 / $564.85 / $718.90