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New Hampshire rates for HCPCS 28715

Arthrodesis Triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,513.10 / $18,714.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,067.22 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$105.84 / $105.84 / $105.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00