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New Hampshire rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $937.17 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.78 / $292.36 / $371.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.32 / $363.89 / $508.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.33 / $394.33 / $394.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.70 / $509.19 / $830.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.74 / $443.67 / $864.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.29 / $442.67 / $782.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.81 / $239.22 / $286.73