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New Hampshire rates for HCPCS 51610

Injection procedure for retrograde urethrocystography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $389.05 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $120.23 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $144.54 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $154.88 / $331.13
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $151.36 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $151.36 / $302.00
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00