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New Hampshire rates for HCPCS 28420

Open Treatment Calcaneal Fracture W Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.07 / $1,298.45 / $1,696.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.09 / $2,135.50 / $3,259.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,466.37 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.52 / $2,314.52 / $3,840.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.72 / $2,394.82 / $4,505.43
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
$1,459.72 / $1,973.97 / $3,720.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.67 / $1,118.33 / $1,423.34