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New Hampshire rates for HCPCS 50705

Ureteral Embolization/Occlusion W/Img Gid Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.54 / $328.86 / $2,553.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.38 / $408.44 / $3,415.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.06 / $719.08 / $5,514.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.51 / $691.69 / $5,538.24
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
$2,633.31 / $3,646.12 / $6,956.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.41 / $190.97 / $1,865.83