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New Hampshire rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $50.12 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $53.70 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $67.61 / $144.54
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $61.66 / $131.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $72.44 / $131.83