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New Hampshire rates for HCPCS 53085

Drg Perineal Urinary Xtrvasation Complic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,467.78 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.36 / $916.33 / $2,467.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.38 / $1,234.19 / $1,866.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.22 / $1,412.93 / $2,138.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.94 / $1,436.15 / $2,384.73
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
$890.16 / $1,141.15 / $2,126.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.69 / $560.66 / $713.57