go back

New Hampshire rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,428.41 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $477.82 / $634.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.50 / $716.11 / $978.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.83 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.55 / $917.68 / $1,409.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.12 / $869.35 / $1,710.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.51 / $744.08 / $1,460.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.16 / $408.99 / $490.22