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New Hampshire rates for HCPCS 25315

Flexor Origin Slide Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.25 / $793.68 / $1,008.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.05 / $1,290.36 / $1,950.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.51 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.75 / $1,537.27 / $2,285.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.54 / $1,433.13 / $2,696.18
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
$891.81 / $1,326.54 / $2,217.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.80 / $669.69 / $852.33