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New Hampshire rates for HCPCS 40720

Plstc Rpr Cl Lip/Nsl Dfrm Sec Recrtj Dfct & Recl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,514.60 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.94 / $1,024.45 / $1,082.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.98 / $1,796.36 / $2,976.63
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
$1,247.73 / $1,537.74 / $2,741.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.63 / $2,269.64 / $4,097.38
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
$1,348.61 / $1,478.57 / $6,363.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.76 / $898.44 / $1,143.46