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New Hampshire rates for HCPCS 25393

Osteoplasty, radius AND ulna; lengthening with autograft

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
$1,039.02 / $1,157.13 / $1,482.31
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
$1,111.43 / $1,886.18 / $2,840.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.88 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.94 / $2,238.69 / $3,328.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.34 / $2,087.42 / $3,927.11
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
$1,296.67 / $1,918.75 / $3,211.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.86 / $979.95 / $1,247.20