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New Hampshire rates for HCPCS C1734

Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,099.51 / $6,099.51 / $6,099.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,785.51 / $7,500.00 / $16,190.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.91 / $3,467.91 / $3,467.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00