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New Hampshire rates for HCPCS 28106

Exc/Curtg Cst/B9 Tum Tarsal/Metar W/Iliac/Agrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,730.37 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.68 / $464.92 / $550.15
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
$419.21 / $718.87 / $1,071.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.10 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.85 / $797.45 / $1,245.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.91 / $787.34 / $1,481.24
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
$548.96 / $680.73 / $1,183.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.09 / $370.80 / $471.93