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New Hampshire rates for HCPCS 54304

Penis Corrj Chordee/1st Stage Hypospadias Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,070.68 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.81 / $1,308.83 / $3,070.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.45 / $1,420.50 / $2,201.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.82 / $1,539.62 / $2,459.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.43 / $1,651.37 / $2,742.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.66 / $1,224.67 / $4,035.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.50 / $646.25 / $822.50