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New Hampshire rates for HCPCS 61586

Bicoronal Transzygmtc&/Lefort I W/O Bone Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,445.58 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,509.44 / $3,302.13 / $7,445.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,880.15 / $4,801.47 / $6,989.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,216.61 / $5,352.50 / $7,664.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,827.98 / $5,610.15 / $9,315.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,929.10 / $4,951.74 / $7,365.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.20 / $2,146.32 / $2,731.68