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New Hampshire rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,770.45 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.27 / $997.42 / $2,770.45
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
$887.84 / $1,332.76 / $2,014.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.86 / $1,500.52 / $2,305.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.33 / $1,550.00 / $2,573.78
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
$984.46 / $1,458.84 / $2,779.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.78 / $635.55 / $808.89