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New Hampshire rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,693.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.01 / $749.44 / $1,085.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.91 / $570.91 / $656.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.70 / $942.01 / $1,322.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.60 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$97.86 / $97.86 / $97.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.87 / $1,229.03 / $2,186.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.39 / $1,237.67 / $2,305.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.11 / $1,196.69 / $2,225.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.99 / $640.11 / $768.13