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New Hampshire rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,037.94 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.28 / $1,325.90 / $3,037.94
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
$927.50 / $1,520.32 / $2,359.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.15 / $1,721.78 / $2,634.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.05 / $1,769.65 / $2,938.50
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
$1,048.35 / $1,351.81 / $2,754.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.17 / $691.00 / $879.45