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New Hampshire rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,205.96 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.02 / $423.49 / $1,205.96
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
$348.42 / $543.66 / $821.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.02 / $598.60 / $940.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $631.76 / $1,049.04
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
$395.68 / $426.12 / $945.07
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.51 / $275.41 / $427.49