go back

New Hampshire rates for HCPCS 53855

Insert Temp Prostatic Ureth Stent W/Measurement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $155.62 / $1,041.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.66 / $189.03 / $1,215.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.36 / $338.32 / $1,990.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.52 / $688.76 / $2,125.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.27 / $1,422.38 / $4,819.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.83 / $590.83 / $848.93