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New Hampshire rates for HCPCS 21700

Division Scalenus Anticus W/O Rescj Cervical Rib

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,514.61 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $387.60 / $496.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.14 / $591.84 / $897.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.65 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.70 / $702.87 / $1,052.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.11 / $648.22 / $1,219.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.29 / $621.84 / $965.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.97 / $305.77 / $389.16