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New Hampshire rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $807.58 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.73 / $338.91 / $807.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.86 / $386.48 / $566.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.20 / $509.77 / $840.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.10 / $505.87 / $988.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.88 / $524.16 / $1,108.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.19 / $248.40 / $349.25