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New Hampshire rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,105.31 / $2,588.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.19 / $543.20 / $785.53
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
$428.28 / $699.07 / $939.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$729.27 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.41 / $912.25 / $1,633.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.12 / $926.48 / $1,724.59
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
$616.75 / $908.45 / $2,021.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.84 / $498.73 / $709.91