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New Hampshire rates for HCPCS 23802

Arthrodesis Glenohumeral Jt W/Autogenous 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
$1,179.43 / $1,301.14 / $1,677.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.78 / $2,139.84 / $3,230.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.45 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,615.38 / $2,420.36 / $3,781.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.76 / $2,373.55 / $4,465.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.00 / $2,035.46 / $3,556.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.57 / $1,112.73 / $1,416.20