go back

New Hampshire rates for HCPCS 58240

Pel Exntj Gynecologic Mal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,859.00 / $9,991.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,908.55 / $2,992.53 / $9,991.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,299.00 / $13,932.60 / $24,290.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,343.60 / $4,866.77 / $7,234.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,724.62 / $6,103.18 / $8,771.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,273.45 / $6,493.87 / $10,783.07
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
$3,273.45 / $4,284.99 / $8,804.74
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,273.05 / $2,500.36 / $3,182.27