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New Hampshire rates for HCPCS 21616

Excision 1st &/Cervical Rib W/Sympathectomy

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
$648.65 / $782.42 / $957.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.54 / $1,187.58 / $1,837.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.77 / $813.77 / $813.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.29 / $1,384.98 / $2,111.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.81 / $1,247.25 / $2,447.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.79 / $1,153.06 / $2,143.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.29 / $610.82 / $777.41