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New Hampshire rates for HCPCS 28825

Amputation Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,094.23 / $7,710.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.33 / $476.57 / $676.61
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
$168.68 / $283.83 / $446.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.22 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.63 / $427.07 / $970.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.20 / $395.61 / $795.36
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
$569.64 / $757.47 / $1,492.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.27 / $473.31 / $645.41