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New Hampshire rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal 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
$737.63 / $823.55 / $1,055.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $11,483.00 / $21,862.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.13 / $1,353.28 / $2,055.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$924.75 / $924.75 / $924.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.07 / $1,480.00 / $2,405.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.57 / $1,510.29 / $2,841.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,629.00 / $12,629.00 / $12,629.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.45 / $1,196.26 / $2,335.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.54 / $702.41 / $893.97