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New Hampshire rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,706.81 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.82 / $619.24 / $842.08
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
$485.85 / $798.25 / $1,056.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.92 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.23 / $1,014.86 / $1,811.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.66 / $1,048.36 / $1,957.81
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
$580.40 / $946.26 / $1,831.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.55 / $537.21 / $789.90