go back

New Hampshire rates for HCPCS 23170

Sequestrectomy Clavicle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,862.00 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.94 / $572.02 / $736.55
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
$563.79 / $943.58 / $1,441.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.37 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.00 / $1,079.63 / $1,686.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.42 / $1,058.89 / $1,992.12
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
$656.47 / $863.20 / $1,920.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.43 / $489.97 / $623.60