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New Hampshire rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

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
$604.75 / $741.34 / $940.95
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
$714.53 / $1,205.57 / $1,826.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.71 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.57 / $1,514.89 / $2,139.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.99 / $1,341.99 / $2,524.73
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
$822.14 / $1,245.83 / $1,994.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.53 / $625.38 / $795.94