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New Hampshire rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $634.48 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.82 / $260.92 / $442.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.60 / $376.00 / $679.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.63 / $474.37 / $937.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.05 / $507.72 / $1,110.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,884.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.41 / $513.79 / $1,006.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $249.26 / $389.90