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New Hampshire rates for HCPCS 51920

Closure Vesicouterine Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,018.87 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.63 / $1,085.24 / $3,018.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,669.00 / $9,734.34 / $16,970.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.39 / $1,451.02 / $2,194.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.75 / $1,662.64 / $2,513.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.32 / $1,688.85 / $2,804.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.40 / $1,341.43 / $3,028.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.67 / $658.55 / $838.15