go back

New Hampshire rates for HCPCS 0058U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.72 / $794.81 / $2,260.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.20 / $251.20 / $290.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.27 / $625.19 / $1,608.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $209.92 / $209.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.16 / $1,180.28 / $1,416.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $468.74 / $1,149.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $193.78 / $358.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.15 / $265.27 / $337.61