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New Hampshire rates for HCPCS 28530

Closed treatment of sesamoid fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $117.49 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $169.82 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $331.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $194.98 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $309.03