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New Hampshire rates for HCPCS 50830

Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,212.17 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.34 / $2,576.04 / $7,212.17
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
$2,180.19 / $3,395.47 / $5,129.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.32 / $3,698.91 / $5,881.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.62 / $3,947.01 / $6,554.01
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
$2,089.10 / $2,837.28 / $5,893.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.28 / $1,689.94 / $2,484.21