go back

New Hampshire rates for HCPCS 49215

Exc Presac/Sacrococcygeal Tumor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,642.65 / $7,642.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.44 / $2,223.32 / $2,828.09
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
$2,147.48 / $3,852.18 / $6,162.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.54 / $4,063.15 / $6,605.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.42 / $4,252.57 / $7,587.91
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
$2,482.79 / $3,787.23 / $8,287.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.99 / $1,913.99 / $2,435.98