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New Hampshire rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,191.79 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.47 / $916.60 / $1,054.52
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
$980.75 / $1,751.31 / $2,901.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.77 / $1,498.97 / $2,669.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.75 / $2,212.71 / $3,994.63
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
$963.29 / $1,419.50 / $5,593.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.57 / $875.13 / $1,113.80