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New Hampshire rates for HCPCS 69719

Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $11,323.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.41 / $711.57 / $711.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.50 / $1,131.38 / $1,658.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.16 / $1,353.50 / $1,948.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.38 / $1,425.12 / $2,366.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.58 / $1,187.42 / $1,911.75
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.14 / $542.94 / $642.79