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New Hampshire rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.83 / $173.80 / $226.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.54 / $251.00 / $344.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.96 / $317.80 / $507.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.96 / $309.30 / $586.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.81 / $272.87 / $537.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.20 / $157.26 / $204.96