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New Hampshire rates for HCPCS 54205

Njx Peyronie W/Surg Expos Plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,167.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.59 / $929.42 / $2,167.00
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
$616.46 / $1,016.74 / $1,574.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.40 / $1,100.33 / $1,757.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.44 / $1,181.23 / $1,961.44
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
$730.43 / $852.50 / $1,831.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.52 / $460.37 / $585.92