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New Hampshire rates for HCPCS 50575

Rnl Ndsc Nfrot/Plot W/Endopyelotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,127.31 / $2,936.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.85 / $1,032.99 / $2,936.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.79 / $1,333.39 / $2,015.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.42 / $1,461.12 / $2,310.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.70 / $1,550.74 / $2,575.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.29 / $1,352.95 / $4,583.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.29 / $671.16 / $1,054.36