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New Hampshire rates for HCPCS 53405

Urethroplasty; second stage (formation of urethra), including urinary diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,548.13 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $2,754.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,778.28 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $1,659.59 / $2,951.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,445.44 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,479.11 / $2,884.03