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New Hampshire rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,511.89 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,659.59
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
$776.25 / $1,513.56 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $2,454.71
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
$912.01 / $1,348.96 / $2,041.74
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
$851.14 / $1,202.26 / $2,344.23
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,000.00