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New Hampshire rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $404.36 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.05 / $143.28 / $404.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.36 / $173.90 / $250.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $249.07 / $405.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.36 / $228.30 / $427.45
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
$169.07 / $208.08 / $793.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $97.04 / $116.45