go back

New Hampshire rates for HCPCS 24930

Amputation, arm through humerus; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,691.53 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,479.11 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,258.93 / $2,344.23
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,174.90 / $2,089.30
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $933.25