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New Hampshire rates for HCPCS 50120

Pyelotomy W/Exploration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,816.24 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.63 / $1,363.16 / $3,816.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $14,347.98 / $25,014.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.38 / $1,798.83 / $2,719.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.49 / $1,948.56 / $3,112.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.60 / $2,092.14 / $3,473.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.91 / $1,600.88 / $3,106.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.30 / $817.63 / $1,040.61