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New Hampshire rates for HCPCS 27566

Open treatment of patellar dislocation, with or without partial or total patellectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.43 / $919.77 / $1,170.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.41 / $1,487.70 / $2,255.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.77 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.76 / $1,593.58 / $2,638.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.18 / $1,657.30 / $3,117.92
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
$1,052.71 / $1,523.37 / $3,053.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.69 / $846.83 / $1,336.58