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New Hampshire rates for HCPCS 50976

Ureteral Endosc Via Ureterot W/Dest&/Inc W/Wo Bx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,912.67 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.64 / $673.69 / $1,912.67
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
$560.62 / $873.03 / $1,318.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.03 / $951.74 / $1,508.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.38 / $1,014.48 / $1,684.54
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
$635.95 / $817.10 / $1,522.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.26 / $399.59 / $508.56