go back

New Hampshire rates for HCPCS 28456

Prq Skel Fixj Tarsl Fx Xcp Talus&Calcns W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $965.97 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.20 / $343.06 / $473.73
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
$370.37 / $617.04 / $946.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.93 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.89 / $682.42 / $1,116.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.99 / $695.60 / $1,308.65
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
$370.48 / $547.09 / $2,199.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.75 / $300.02 / $381.85