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New Hampshire rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,062.35 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.37 / $791.21 / $1,153.51
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
$707.74 / $1,213.64 / $1,809.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.15 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.00 / $1,308.00 / $2,111.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.22 / $1,329.25 / $2,500.73
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
$827.41 / $1,124.32 / $2,206.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.27 / $633.90 / $806.78