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New Hampshire rates for HCPCS 25000

Incision, extensor tendon sheath, wrist (eg, de Quervains disease)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,214.69 / $3,074.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.52 / $379.08 / $619.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.08 / $354.08 / $513.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $581.47 / $892.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.37 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.72 / $688.14 / $1,045.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.55 / $655.50 / $1,233.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.25 / $560.16 / $1,023.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.74 / $324.89 / $512.78