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New Hampshire rates for HCPCS 50974

Ureteral Endoscopy Via Ureterot W/O Imaging W/Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,943.13 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.27 / $684.17 / $1,943.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.91 / $885.11 / $1,336.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.03 / $967.11 / $1,531.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.41 / $1,028.44 / $1,707.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.63 / $795.01 / $1,567.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.16 / $404.98 / $515.41