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New Hampshire rates for HCPCS 28575

Closed Tx Talotarsal Joint Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,067.78 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.95 / $368.80 / $485.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.49 / $547.65 / $744.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.97 / $706.03 / $1,084.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.51 / $667.74 / $1,301.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.43 / $550.79 / $1,119.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.77 / $310.43 / $372.09