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New Hampshire rates for HCPCS 21450

Closed treatment of mandibular fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,634.94 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.09 / $610.51 / $748.21
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
$467.41 / $778.72 / $1,079.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.18 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.94 / $1,027.76 / $1,682.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.10 / $962.91 / $1,840.90
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
$593.30 / $887.31 / $1,603.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.83 / $465.94 / $559.13