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New Hampshire rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,628.48 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.81 / $459.67 / $694.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.94 / $755.82 / $1,150.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.42 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.74 / $855.47 / $1,344.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.09 / $845.06 / $1,589.83
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
$582.91 / $745.66 / $1,246.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.26 / $391.89 / $498.76