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New Hampshire rates for HCPCS 50405

Pyeloplasty Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,643.26 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.30 / $2,008.38 / $2,645.04
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
$1,688.27 / $2,634.35 / $3,980.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.26 / $2,857.00 / $4,563.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.78 / $3,062.55 / $5,085.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.93 / $2,608.21 / $4,565.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.49 / $1,200.64 / $1,528.09