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New Hampshire rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,226.18 / $2,652.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.46 / $727.92 / $934.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $36,315.22 / $63,311.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.83 / $1,192.58 / $1,829.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.20 / $823.20 / $823.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.29 / $1,433.21 / $2,130.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.47 / $1,289.19 / $2,529.29
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
$913.77 / $1,205.11 / $2,076.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.76 / $619.04 / $787.86