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New Hampshire rates for HCPCS 54250

Nocturnal penile tumescence and/or rigidity test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.15 / $211.16 / $508.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.11 / $230.80 / $356.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.74 / $266.63 / $403.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.84 / $269.16 / $479.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $200.20 / $418.06
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.43 / $104.97 / $133.60