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New Hampshire rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.77 / $532.09 / $697.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.36 / $916.34 / $1,365.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.51 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.46 / $970.01 / $1,596.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.74 / $1,003.62 / $1,888.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.79 / $793.07 / $1,563.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.70 / $463.87 / $590.38