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New Hampshire rates for HCPCS 51580

Cystectomy W/Ureterosigmoidostomy W/Nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,685.09 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.14 / $2,733.97 / $7,685.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $14,347.98 / $25,014.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.48 / $3,574.78 / $5,400.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.51 / $3,874.97 / $6,189.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,094.42 / $4,154.91 / $6,899.23
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
$2,596.36 / $3,539.10 / $6,875.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.08 / $1,630.29 / $2,074.91