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New Hampshire rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,147.78 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.68 / $541.79 / $755.79
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
$496.20 / $826.68 / $1,268.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.63 / $1,306.21 / $1,351.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.47 / $904.29 / $1,483.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.04 / $931.93 / $1,753.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.50 / $773.13 / $1,464.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.58 / $425.24 / $541.21