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New Hampshire rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,016.49 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.86 / $531.74 / $680.09
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
$522.07 / $895.26 / $1,334.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.38 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.89 / $1,107.96 / $1,561.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.66 / $980.52 / $1,844.68
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
$597.66 / $934.93 / $1,528.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.72 / $452.89 / $576.41