go back

New Hampshire rates for HCPCS 25109

Excision of tendon, forearm and/or wrist, flexor or extensor, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,835.41 / $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
$617.49 / $2,000.36 / $2,070.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00