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New Hampshire rates for HCPCS 21462

Open treatment of mandibular fracture; with interdental fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,590.80 / $7,358.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,897.02 / $2,862.32 / $2,962.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00