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New Hampshire rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.88 / $191.88 / $230.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.90 / $175.19 / $229.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.67 / $204.67 / $217.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.83 / $302.83 / $302.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $257.41 / $302.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $275.91 / $851.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.79 / $233.08 / $255.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $170.01 / $275.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.66 / $247.13 / $314.52