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New Hampshire rates for HCPCS 50783

Ureteroneocystostomy W/Ureteral Tailoring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,437.39 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.08 / $1,640.81 / $2,139.07
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
$1,364.59 / $2,130.75 / $3,217.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.28 / $2,371.11 / $3,688.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.91 / $2,475.60 / $4,110.74
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
$1,544.06 / $1,900.38 / $3,773.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.95 / $970.15 / $1,234.73