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New Hampshire rates for HCPCS 28261

Capsulotomy Midfoot W/Tendon Lengthening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,678.80 / $3,425.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,453.97 / $2,000.36 / $2,070.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00