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New Hampshire rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,011.12 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.24 / $1,309.35 / $4,011.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.02 / $2,133.48 / $3,074.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.94 / $2,874.47 / $4,572.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.36 / $2,798.42 / $5,201.49
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
$1,791.78 / $3,026.26 / $5,581.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.64 / $1,189.96 / $1,427.95