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New Hampshire rates for HCPCS 23540

Clsd Tx Acromioclavicular Dislc W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $726.89 / $2,331.21
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$313.33 / $545.16 / $552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.75 / $231.60 / $308.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $364.86 / $511.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.29 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$286.50 / $286.50 / $286.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.13 / $477.49 / $734.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.20 / $439.25 / $856.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.20 / $403.92 / $794.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.83 / $215.59 / $292.20