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New Hampshire rates for HCPCS 25909

Amp Forearm Thru Radius&Ulna Re-Amputation

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
$631.22 / $706.11 / $898.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.86 / $1,142.64 / $1,742.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.14 / $784.14 / $784.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.00 / $1,372.54 / $2,040.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.59 / $1,280.64 / $2,409.29
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
$795.63 / $1,161.35 / $1,981.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.09 / $596.29 / $758.93