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New Hampshire rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,610.80 / $2,610.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.70 / $756.78 / $994.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,476.90 / $9,132.04 / $17,364.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.32 / $1,346.98 / $2,164.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.46 / $1,426.72 / $2,313.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.54 / $1,493.75 / $2,665.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.69 / $1,170.71 / $2,240.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.21 / $665.73 / $847.29