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New Hampshire rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $892.02 / $2,331.21
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$378.19 / $669.01 / $745.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.50 / $308.14 / $395.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.95 / $456.86 / $629.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.90 / $492.90 / $492.90
Cigna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$345.03 / $345.03 / $345.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.61 / $586.21 / $902.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.10 / $556.74 / $1,032.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.94 / $469.96 / $1,045.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.08 / $269.64 / $367.05