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New Hampshire rates for HCPCS 28112

Ostectomy Complete Other Metatarsal Head 2/3/4

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,175.38 / $5,412.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $433.73 / $609.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.13 / $516.79 / $726.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.53 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.04 / $711.21 / $1,349.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.65 / $709.14 / $1,325.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.91 / $755.48 / $1,482.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.89 / $413.22 / $616.49