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New Hampshire rates for HCPCS 52001

Cysto W/Irrig & Evac Multple Obstructing Clots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,173.65 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.88 / $414.67 / $866.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.50 / $552.61 / $836.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.31 / $760.07 / $1,327.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.06 / $736.29 / $1,438.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.85 / $700.13 / $1,358.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.89 / $359.87 / $492.69