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New Hampshire rates for HCPCS 25825

Arthrodesis Wrist Limited W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,657.45 / $9,859.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.29 / $2,862.32 / $2,962.50
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.00 / $90.00 / $90.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00