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New Hampshire rates for HCPCS 58290

Vaginal Hysterectomy Uterus > 250 Gm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,210.17 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.19 / $1,243.73 / $4,210.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.30 / $1,919.00 / $2,830.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.06 / $2,403.21 / $3,454.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.50 / $2,540.26 / $4,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.61 / $2,034.66 / $3,512.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.68 / $996.25 / $1,267.95