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New Hampshire rates for HCPCS 40810

Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $449.99 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $200.72 / $449.99
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
$149.91 / $236.65 / $408.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.56 / $327.52 / $601.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.53 / $361.66 / $736.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.47 / $346.60 / $788.30
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.39 / $170.13 / $238.18