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New Hampshire rates for HCPCS 25909

Amputation, forearm, through radius and ulna; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,570.40 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,412.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,318.26 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,230.27 / $2,089.30
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,122.02 / $1,995.26
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $831.76