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New Hampshire rates for HCPCS 50620

Ureterolithotomy; middle one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,654.78 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.25 / $1,303.47 / $3,654.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $9,734.34 / $16,970.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.50 / $1,710.45 / $2,584.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.64 / $1,854.84 / $2,961.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.40 / $1,988.56 / $3,302.01
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
$1,238.43 / $1,524.22 / $2,957.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.61 / $849.13 / $1,248.22