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New Hampshire rates for HCPCS 25922

Disarticulation Thru Wrist Sec Closure/Scar Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,042.65 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.30 / $592.70 / $843.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.80 / $1,065.95 / $1,635.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.78 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.74 / $1,167.39 / $1,937.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.45 / $1,201.66 / $2,260.71
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
$729.29 / $966.64 / $1,892.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.59 / $549.54 / $699.43