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New Hampshire rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,621.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,548.82 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $2,454.71
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,290.87
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $977.24