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New Hampshire rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,330.56 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,015.07 / $1,063.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.48 / $1,766.90 / $2,927.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,906.58 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.74 / $1,513.30 / $2,693.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.75 / $2,232.42 / $4,030.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.75 / $1,662.39 / $5,634.64
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.17 / $961.40 / $1,517.42