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New Hampshire rates for HCPCS 57335

Vaginoplasty Intersex State

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,260.72 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.64 / $1,260.60 / $4,260.72
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
$1,293.36 / $1,964.98 / $2,893.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.68 / $2,463.28 / $3,541.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.38 / $2,597.55 / $4,313.22
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
$1,604.48 / $2,250.75 / $4,598.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.01 / $1,013.11 / $1,289.41