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New Hampshire rates for HCPCS 58100

Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $406.41 / $8,965.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$48.80 / $161.13 / $203.21
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$19.52 / $64.45 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.17 / $112.44 / $246.97
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$44.09 / $56.06 / $161.13
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$17.63 / $22.42 / $64.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $110.01 / $189.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.43 / $177.08 / $294.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.75 / $173.79 / $344.02
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
$133.33 / $164.90 / $296.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.08 / $85.06 / $116.00