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New Hampshire rates for HCPCS 28107

Exc/Curtg Cst/B9 Tum Tarsal/Metar W/Algrft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,423.01 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.74 / $500.26 / $659.90
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
$345.45 / $570.16 / $780.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.22 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.26 / $752.76 / $1,427.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.67 / $777.21 / $1,398.56
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
$601.80 / $894.54 / $1,726.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.07 / $383.70 / $494.10