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New Hampshire rates for HCPCS 25107

Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,156.87 / $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
$713.47 / $2,000.36 / $2,070.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00