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New Hampshire rates for HCPCS 23474

Revis Shoulder Arthrplsty Humeral&Glenoid Compnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,098.13 / $9,859.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,446.36 / $1,446.36 / $1,446.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,992.00 / $36,315.22 / $63,311.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.28 / $1,967.28 / $1,967.28
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$1,554.50 / $1,554.50 / $1,554.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.31 / $194.31 / $194.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00