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New Hampshire rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,129.86 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.18 / $450.26 / $659.37
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
$393.42 / $590.74 / $1,024.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.90 / $752.54 / $1,444.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.62 / $855.88 / $1,657.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.24 / $782.61 / $3,139.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $399.73 / $572.99