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New Hampshire rates for HCPCS 50690

Njx Visualization Ileal Conduit&/Ureteropyelog

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.39 / $283.13 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.33 / $102.07 / $142.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $143.68 / $230.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.77 / $165.87 / $331.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.44 / $187.24 / $370.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $165.60 / $628.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $77.28 / $103.46