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New Hampshire rates for HCPCS 51820

Cystourethroplasty with unilateral or bilateral ureteroneocystostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,262.45 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.96 / $1,532.82 / $4,262.45
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
$1,311.89 / $2,054.44 / $3,105.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.40 / $2,267.83 / $3,559.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.58 / $2,389.67 / $3,968.04
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
$1,255.30 / $1,904.34 / $3,548.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.03 / $933.93 / $1,188.64