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New Hampshire rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,088.36 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.47 / $671.46 / $926.13
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
$599.05 / $1,027.27 / $1,531.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.92 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.40 / $1,147.80 / $1,793.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $1,125.11 / $2,116.71
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
$685.80 / $886.63 / $1,751.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.14 / $568.97 / $898.02