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New Hampshire rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.04 / $323.11 / $364.44
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
$372.20 / $548.83 / $791.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.75 / $501.78 / $835.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.53 / $592.51 / $1,057.22
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
$316.51 / $450.63 / $882.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00