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New Hampshire rates for HCPCS 32658

Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,689.88 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.97 / $647.54 / $2,689.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $17,300.00 / $28,708.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.93 / $1,275.33 / $1,883.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.09 / $1,547.56 / $2,111.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.96 / $1,569.11 / $2,605.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.68 / $1,252.05 / $2,814.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.17 / $611.79 / $778.65