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New Hampshire rates for HCPCS 25119

Synvct Xtnsr Tdn Shth Wrst 1 Rescj Dstl Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,783.24 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.68 / $504.74 / $655.04
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
$503.31 / $863.09 / $1,286.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.80 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.93 / $926.44 / $1,506.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.19 / $945.30 / $1,778.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.97 / $862.13 / $1,696.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.01 / $433.41 / $551.61