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New Hampshire rates for HCPCS 47554

Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,859.92 / $2,678.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,300.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.36 / $2,000.36 / $2,070.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,660.00 / $12,399.00