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New Hampshire rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

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
$654.88 / $739.42 / $941.78
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
$714.86 / $1,225.84 / $1,827.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.09 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.43 / $1,293.88 / $2,139.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.36 / $1,342.60 / $2,525.87
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
$818.36 / $1,105.05 / $2,079.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.08 / $625.99 / $796.71