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New Hampshire rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.74 / $149.02 / $203.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.10 / $183.22 / $250.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.53 / $234.47 / $434.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.43 / $246.82 / $447.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.45 / $240.16 / $471.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.23 / $122.12 / $149.54