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New Hampshire rates for HCPCS 28360

Reconstruction Cleft Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,856.42 / $3,500.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.25 / $1,005.05 / $1,433.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.90 / $1,821.88 / $2,773.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.64 / $1,247.64 / $1,247.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.61 / $2,071.81 / $3,253.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.99 / $2,037.61 / $3,833.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.52 / $1,735.34 / $3,032.14
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.87 / $950.26 / $1,209.42