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New Hampshire rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,540.67 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.91 / $1,156.83 / $2,540.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.17 / $1,246.29 / $1,932.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.99 / $1,426.01 / $2,155.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.60 / $1,449.36 / $2,406.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.28 / $1,152.83 / $2,255.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.27 / $624.32 / $974.03