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New Hampshire rates for HCPCS 50740

Ureteropyelostomy Anast Ureter Renal Pelvis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,287.35 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,234.56 / $1,646.70 / $4,287.35
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
$1,483.77 / $2,341.86 / $3,535.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.56 / $2,537.04 / $4,052.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.22 / $2,720.23 / $4,516.93
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
$1,517.14 / $2,166.57 / $4,036.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.07 / $1,058.28 / $1,346.90