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New Hampshire rates for HCPCS 54316

Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,083.26 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.99 / $1,770.33 / $4,083.26
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
$1,155.67 / $1,884.04 / $2,918.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.49 / $2,143.14 / $3,261.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.49 / $2,189.10 / $3,635.01
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
$1,365.30 / $2,100.46 / $5,364.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.25 / $858.28 / $1,092.34