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New Hampshire rates for HCPCS 54385

Plastic Penis Epispadias Dstl Sphnctr W/Incont

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,960.92 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.57 / $1,693.51 / $3,960.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.01 / $1,767.04 / $2,737.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.83 / $1,995.13 / $3,058.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.99 / $2,053.21 / $3,409.36
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
$1,274.34 / $1,633.66 / $3,195.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.74 / $801.61 / $1,020.24