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New Hampshire rates for HCPCS 54861

Epididymectomy Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,275.35 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.04 / $980.28 / $2,275.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.09 / $1,085.41 / $1,679.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.64 / $1,174.67 / $1,876.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.05 / $1,259.83 / $2,091.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.17 / $1,125.22 / $2,259.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.89 / $490.48 / $624.25