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New Hampshire rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

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
$928.73 / $1,025.05 / $1,317.16
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
$983.66 / $1,686.79 / $2,514.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.13 / $1,135.13 / $1,135.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.34 / $1,902.06 / $2,971.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.08 / $1,847.45 / $3,475.65
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
$1,124.24 / $1,505.36 / $3,060.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.32 / $882.55 / $1,123.25