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New Hampshire rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

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
$705.40 / $772.88 / $1,002.33
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
$759.50 / $1,276.31 / $1,941.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.43 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.81 / $1,527.84 / $2,271.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.46 / $1,426.44 / $2,683.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.12 / $1,336.55 / $2,123.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.77 / $665.25 / $846.68