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New Hampshire rates for HCPCS 24301

Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.93 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$85.08 / $85.08 / $85.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00