go back

New Hampshire rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $6,446.43 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.18 / $2,321.88 / $6,446.43
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
$1,987.29 / $3,094.08 / $4,673.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.14 / $3,369.08 / $5,359.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.62 / $3,595.88 / $5,970.95
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
$2,247.34 / $2,765.95 / $5,367.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.81 / $1,411.09 / $1,795.93