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New Hampshire rates for HCPCS 21445

Optx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.76 / $753.17 / $1,001.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.17 / $1,012.06 / $1,417.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.87 / $1,353.20 / $2,227.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.85 / $1,256.51 / $2,402.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.09 / $1,277.33 / $2,159.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.89 / $625.36 / $750.43