go back

New Hampshire rates for HCPCS 40819

Exc Frenum Labial/Buccal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $827.83 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.18 / $275.99 / $483.19
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
$242.52 / $342.99 / $518.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.77 / $515.40 / $825.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $500.57 / $937.22
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
$380.60 / $498.01 / $1,053.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.66 / $255.72 / $339.68