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New Hampshire rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,248.85 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.74 / $401.20 / $498.81
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
$393.01 / $673.93 / $1,004.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.96 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.60 / $739.21 / $1,158.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.91 / $738.12 / $1,388.65
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
$445.71 / $672.51 / $1,074.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.52 / $338.27 / $430.53