go back

New Hampshire rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,222.28 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.84 / $652.33 / $831.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.04 / $1,061.29 / $1,615.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.86 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.49 / $1,144.75 / $1,891.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.57 / $1,187.08 / $2,233.30
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
$799.62 / $1,041.56 / $1,911.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.88 / $552.07 / $702.63