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New Hampshire rates for HCPCS 50125

Pyelotomy; with drainage, pyelostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,939.53 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.94 / $1,451.46 / $3,939.53
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
$1,188.94 / $1,861.16 / $2,811.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.70 / $2,109.40 / $3,219.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.53 / $2,163.39 / $3,592.31
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
$1,267.30 / $1,655.79 / $3,880.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.82 / $845.70 / $1,076.34