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New Hampshire rates for HCPCS 28102

Exc/Curtg Cst/B9 Tum Talus/Clcns W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,032.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.67 / $659.89 / $940.34
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
$609.41 / $1,019.79 / $1,557.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.82 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.52 / $1,105.01 / $1,821.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.65 / $1,144.56 / $2,153.30
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
$688.56 / $837.60 / $1,833.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.85 / $530.04 / $674.59