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New Hampshire rates for HCPCS 52305

Cysto Inc/Rescj Orifice Bldr Diverticulum 1/Mlt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,141.30 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.48 / $402.72 / $1,141.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.30 / $520.75 / $786.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.75 / $570.48 / $904.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.13 / $605.32 / $1,005.13
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
$380.29 / $480.55 / $909.83
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.81 / $261.37 / $411.41