go back

New Hampshire rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $511.25 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.88 / $187.71 / $256.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.14 / $280.89 / $370.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.14 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.42 / $357.19 / $609.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.62 / $363.74 / $693.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.15 / $309.43 / $609.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.68 / $178.56 / $242.68