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New Hampshire rates for HCPCS 50386

Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,188.15 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.99 / $730.12 / $1,181.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.76 / $376.54 / $1,416.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.53 / $671.07 / $2,286.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.21 / $802.81 / $2,477.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.06 / $1,421.20 / $2,448.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.28 / $602.82 / $904.23