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New Hampshire rates for HCPCS 53405

Urethroplasty 2nd Stage W/Urinary Diversion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,550.41 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.77 / $1,263.65 / $3,550.41
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
$1,056.79 / $1,656.41 / $2,504.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.51 / $1,796.42 / $2,869.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.30 / $1,926.86 / $3,199.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.17 / $1,644.95 / $2,859.39
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.40 / $752.84 / $958.16