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New Hampshire rates for HCPCS 52318

Litholapaxy Comp/Lg > 2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,943.64 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.18 / $510.26 / $862.83
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
$569.34 / $886.39 / $1,338.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.88 / $971.79 / $1,533.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.16 / $1,029.91 / $1,710.16
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
$645.54 / $829.24 / $1,544.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.73 / $444.88 / $698.20