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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
$100.00 / $1,345.84 / $2,517.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.54 / $723.64 / $1,041.08
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
$781.17 / $1,310.59 / $1,996.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$904.09 / $904.09 / $904.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.84 / $1,450.97 / $2,407.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.27 / $1,467.14 / $2,760.16
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
$894.27 / $1,142.78 / $2,323.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.12 / $675.53 / $859.77