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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
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.66 / $818.49 / $1,043.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.84 / $1,357.86 / $2,024.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.62 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.10 / $1,517.15 / $2,370.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.49 / $1,487.19 / $2,797.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.89 / $1,264.22 / $2,208.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.35 / $692.29 / $881.09