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New Hampshire rates for HCPCS 50688

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $321.39 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.61 / $115.75 / $321.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $146.87 / $224.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.19 / $168.99 / $270.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.02 / $172.63 / $286.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.85 / $136.97 / $255.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.48 / $67.63 / $86.07