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New Hampshire rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $21,126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.27 / $1,637.44 / $2,074.73
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
$1,795.12 / $2,610.31 / $3,912.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,795.12 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.27 / $3,004.30 / $4,670.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.03 / $2,903.91 / $5,463.20
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
$1,650.70 / $2,303.58 / $4,531.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00