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New Hampshire rates for HCPCS 50630

Ureterolithotomy; lower one-third of ureter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,559.87 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.63 / $1,276.95 / $3,559.87
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
$1,080.21 / $1,690.73 / $2,553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.08 / $1,831.91 / $2,926.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.55 / $1,965.05 / $3,262.97
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
$1,190.89 / $1,400.46 / $2,920.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.72 / $768.59 / $978.21