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New Hampshire rates for HCPCS 25622

Closed treatment of carpal scaphoid (navicular) fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,000.00 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $512.86 / $933.25
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
$354.81 / $549.54 / $831.76
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
$323.59 / $457.09 / $851.14
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $389.05