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New Hampshire rates for HCPCS L8691

Osseointegrated Snd Proc Rpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.12 / $1,769.12 / $2,122.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.16 / $1,372.79 / $1,769.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.15 / $2,029.15 / $2,405.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.56 / $2,546.78 / $2,546.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.90 / $1,650.90 / $1,650.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.27 / $1,403.27 / $1,650.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.91 / $1,642.91 / $5,070.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.52 / $1,224.69 / $1,390.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.88 / $1,012.32 / $2,159.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.72 / $1,471.49 / $1,872.81