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New Hampshire rates for HCPCS 57310

Closure Urethrovaginal Fistula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,825.87 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.87 / $513.38 / $1,825.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.92 / $824.32 / $1,219.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.71 / $1,029.44 / $1,494.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.75 / $1,094.56 / $1,817.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.44 / $718.30 / $1,459.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.72 / $416.59 / $530.21