go back

New Hampshire rates for HCPCS 46753

Graft Thiersch Rct Incontinence &/Prolapse

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,985.41 / $2,678.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.90 / $586.95 / $799.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.70 / $1,095.48 / $1,752.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.40 / $1,159.40 / $1,880.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.13 / $1,209.35 / $2,157.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.00 / $4,314.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.45 / $952.10 / $1,800.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.16 / $586.02 / $924.93