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New Hampshire rates for HCPCS 42210

Palatop Clsr Alveolar Ridge Grf Alveolar Ridge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,811.48 / $7,663.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.36 / $1,101.48 / $1,908.02
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
$1,052.88 / $1,880.12 / $3,021.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,862.32 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.98 / $1,915.32 / $2,976.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.33 / $2,084.98 / $3,720.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.00 / $4,574.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.95 / $1,629.29 / $3,191.96
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.97 / $956.97 / $1,217.96