go back

New Hampshire rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

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
$873.49 / $983.64 / $1,251.33
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
$942.58 / $1,616.35 / $2,409.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.97 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,268.61 / $1,898.11 / $2,821.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.05 / $1,770.29 / $3,330.49
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
$1,193.57 / $1,684.16 / $3,260.51
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.59 / $828.95 / $1,055.03