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New Hampshire rates for HCPCS 50520

Closure of nephrocutaneous or pyelocutaneous fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,168.69 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $3,235.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $15,488.17 / $24,547.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,398.83 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,041.74 / $3,981.07
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,995.26 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,949.84 / $3,467.37