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New Hampshire rates for HCPCS 21630

Radical Resection Sternum

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
$1,099.48 / $1,257.59 / $1,712.39
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
$1,286.74 / $2,195.44 / $3,289.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.64 / $1,480.64 / $1,480.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.20 / $2,475.83 / $3,867.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.05 / $2,317.40 / $4,546.57
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
$1,501.44 / $1,989.72 / $3,653.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.20 / $1,048.52 / $1,334.48