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New Hampshire rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $447.15 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.44 / $167.00 / $215.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,426.62 / $2,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $229.41 / $340.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,306.21 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.49 / $274.99 / $472.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.46 / $295.12 / $541.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.94 / $263.60 / $507.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.89 / $140.09 / $168.11