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New Hampshire rates for HCPCS 28114

Ostc Compl All Metar Heads W/Prtl Prox Phalangc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,678.80 / $3,635.83
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
$1,427.58 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$142.76 / $142.76 / $142.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00