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New Hampshire rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.66 / $485.66 / $485.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.87 / $839.20 / $1,227.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.67 / $1,006.77 / $1,448.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.75 / $1,054.89 / $1,751.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.33 / $755.85 / $1,304.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.19 / $371.84 / $440.23