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New Hampshire rates for HCPCS 54901

Epididymovasostomy Anast Epididymis Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,320.60 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.82 / $1,847.04 / $4,320.60
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
$1,224.52 / $2,004.85 / $3,108.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,345.93 / $2,268.36 / $3,475.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.33 / $2,331.62 / $3,871.65
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
$1,369.47 / $2,007.56 / $3,636.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.68 / $994.42 / $1,461.79