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New Hampshire rates for HCPCS 37788

Penile revascularization, artery, with or without vein graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,205.02 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.33 / $1,515.30 / $1,515.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $9,734.34 / $16,970.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.80 / $2,384.46 / $3,814.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.88 / $3,310.53 / $4,583.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.33 / $2,667.69 / $4,601.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.06 / $2,295.44 / $4,596.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.07 / $1,087.98 / $1,384.70