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New Hampshire rates for HCPCS 49250

Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,995.26 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,677.35 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,570.40 / $2,570.40
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,466.84 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $4,466.84 / $10,000.00
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $602.56 / $741.31