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New Hampshire rates for HCPCS 55300

Vasotomy Vasograms Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $727.84 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.12 / $220.29 / $315.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.85 / $371.67 / $544.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.38 / $332.90 / $550.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.89 / $356.15 / $678.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.52 / $281.05 / $640.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.78 / $160.36 / $204.09