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New Hampshire rates for HCPCS 22855

Removal Anterior Instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,844.88 / $4,295.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,497.60 / $36,315.22 / $63,311.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.82 / $1,262.82 / $1,262.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.34 / $125.34 / $125.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00