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New Hampshire rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate 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
$680.44 / $762.79 / $968.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.59 / $1,239.09 / $1,877.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.78 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.14 / $1,553.97 / $2,196.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.95 / $1,379.66 / $2,595.59
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
$957.20 / $1,320.52 / $2,226.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.03 / $642.42 / $817.64