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New Hampshire rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $295.86 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $115.77 / $295.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $155.26 / $310.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $213.78 / $496.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $224.46 / $548.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.83 / $279.51 / $622.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $78.41 / $133.63