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New Hampshire rates for HCPCS 28820

Amputation Toe Metatarsophalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,266.43 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $443.84 / $614.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.55 / $198.55 / $198.55
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
$172.72 / $289.89 / $457.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.76 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.76 / $450.81 / $1,034.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.45 / $405.50 / $810.98
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
$581.40 / $774.09 / $1,525.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.95 / $455.39 / $673.95