go back

New Hampshire rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

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
$776.46 / $870.94 / $1,109.91
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
$839.72 / $1,439.96 / $2,146.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.68 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.85 / $1,531.00 / $2,514.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.30 / $1,577.11 / $2,967.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.08 / $1,307.20 / $2,552.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.29 / $736.22 / $937.01