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New Hampshire rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.60 / $754.03 / $962.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.71 / $1,227.70 / $1,867.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.32 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.81 / $1,321.84 / $2,185.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.51 / $1,372.38 / $2,581.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.28 / $1,174.65 / $4,747.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.33 / $639.46 / $813.86