go back

New Hampshire rates for HCPCS 25105

Arthrotomy Wrist Joint With Synovectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,731.47 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.44 / $2,472.40 / $2,558.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00