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New Hampshire rates for HCPCS 50722

Ureterolysis For Ovarian Vein Syndrome

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,802.02 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.45 / $1,447.83 / $3,802.02
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
$1,216.54 / $1,947.63 / $2,925.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.56 / $2,121.17 / $3,388.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.59 / $2,250.82 / $3,737.49
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
$1,238.53 / $1,931.99 / $3,379.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.46 / $888.21 / $1,130.44