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New Hampshire rates for HCPCS 21465

Open Treatment Mandibular Condylar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.45 / $987.29 / $1,108.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.87 / $1,356.20 / $2,098.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.50 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.57 / $1,562.30 / $2,419.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.38 / $1,485.37 / $2,794.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.93 / $1,267.81 / $2,516.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.24 / $727.36 / $925.74