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New Hampshire rates for HCPCS 28636

Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $733.39 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.46 / $257.64 / $396.65
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
$222.87 / $371.30 / $534.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.16 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.54 / $487.09 / $904.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.51 / $512.12 / $988.45
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
$358.16 / $498.96 / $946.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $251.62 / $381.71