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New Hampshire rates for HCPCS 28130

Talectomy Astragalectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,312.27 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.55 / $650.62 / $803.60
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
$619.11 / $1,061.66 / $1,582.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.98 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.39 / $1,198.86 / $1,816.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.75 / $1,162.78 / $2,187.56
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
$754.14 / $1,101.80 / $1,900.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.78 / $548.66 / $698.29