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New Hampshire rates for HCPCS 25420

Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)

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
$1,069.26 / $1,203.25 / $1,530.07
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
$1,147.98 / $1,968.57 / $2,934.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.60 / $2,472.40 / $2,558.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.63 / $2,310.44 / $3,434.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.19 / $2,156.06 / $4,056.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.63 / $1,854.06 / $3,163.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.00 / $1,012.00 / $1,288.00