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New Hampshire rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,212.44 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.74 / $1,145.68 / $3,212.44
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
$962.70 / $1,509.53 / $2,282.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.26 / $1,636.90 / $2,614.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.39 / $1,756.44 / $2,916.56
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
$1,090.97 / $1,961.14 / $5,117.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.78 / $686.16 / $873.29