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New Hampshire rates for HCPCS 54308

Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,924.03 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.46 / $1,270.69 / $2,924.03
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
$828.22 / $1,362.01 / $2,111.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.98 / $1,477.06 / $2,359.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.37 / $1,583.81 / $2,629.91
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
$981.24 / $1,336.00 / $2,460.84
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.37 / $617.51 / $785.92