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New Hampshire rates for HCPCS 28740

Arthrodesis Midtarsometatarsal Single Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,380.47 / $4,353.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.86 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$104.89 / $104.89 / $104.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00