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New Hampshire rates for HCPCS 25425

Repair of defect with autograft; radius OR 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
$882.59 / $994.51 / $1,264.82
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
$951.31 / $1,609.37 / $2,431.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.01 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.30 / $2,011.21 / $2,850.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.05 / $1,786.70 / $3,361.35
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
$1,110.76 / $1,700.57 / $3,292.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.90 / $913.08 / $1,441.14