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New Hampshire rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,185.10 / $6,275.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.04 / $441.93 / $635.25
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
$326.26 / $538.90 / $750.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.83 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.48 / $733.37 / $1,383.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.22 / $739.45 / $1,360.84
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
$514.22 / $764.48 / $1,701.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.20 / $398.84 / $616.49