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New Hampshire rates for HCPCS 25630

Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $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
$288.40 / $467.74 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $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 / $537.03 / $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
$239.88 / $239.88 / $389.05