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New Hampshire rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.18 / $839.66 / $2,208.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.19 / $1,142.88 / $1,784.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.98 / $1,595.90 / $2,837.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.77 / $1,521.83 / $2,849.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.16 / $1,500.43 / $3,412.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.77 / $729.64 / $875.57