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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
$2,398.83 / $2,818.38 / $15,848.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,659.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $12,022.64 / $22,908.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,584.89 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,348.96 / $2,454.71
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,288.25 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $12,589.25 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $2,344.23
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $977.24