go back

New Hampshire rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $164.65 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $73.68 / $164.65
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
$48.59 / $81.72 / $144.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.91 / $120.00 / $228.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $121.80 / $256.02
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
$72.94 / $118.91 / $228.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.90 / $55.50 / $86.34