go back

New Hampshire rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,558.51 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.65 / $570.94 / $835.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.27 / $968.40 / $1,265.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.94 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.23 / $1,184.35 / $1,960.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.84 / $1,219.54 / $2,331.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.07 / $1,022.29 / $4,075.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.79 / $509.65 / $611.58