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New Hampshire rates for HCPCS 74485

Dilation of ureter(s) or urethra, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $28.84 / $28.84