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New Hampshire rates for HCPCS 28605

Closed Tx Tarsometatarsal Dislocation W/Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $871.61 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.32 / $313.30 / $436.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.82 / $495.70 / $672.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.61 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.16 / $641.27 / $981.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.62 / $605.40 / $1,120.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.69 / $496.57 / $1,009.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.72 / $278.82 / $334.21