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New Hampshire rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,867.26 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.12 / $1,226.74 / $2,867.26
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
$815.01 / $1,336.56 / $2,071.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.57 / $1,448.41 / $2,313.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.18 / $1,553.67 / $2,579.87
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
$892.36 / $1,237.83 / $2,421.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.41 / $607.65 / $773.37