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New Hampshire rates for HCPCS 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,862.09 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $602.56 / $1,122.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $870.96 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,778.28
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,000.00 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,584.89
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $724.44