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New Hampshire rates for HCPCS 37790

Penile Venous Occlusive Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,895.49 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.69 / $535.94 / $535.94
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
$501.23 / $924.53 / $1,479.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.15 / $1,277.30 / $1,773.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.00 / $1,081.82 / $1,927.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.02 / $854.64 / $1,851.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.61 / $419.77 / $534.25