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New Hampshire rates for HCPCS 28104

Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,303.27 / $3,033.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.79 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$60.88 / $60.88 / $60.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00