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New Hampshire rates for HCPCS 58292

Vag Hyst > 250 Gm Rmvl Tube&/Ovary W/Rpr Entrcle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,818.97 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.46 / $1,421.11 / $4,818.97
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
$1,458.93 / $2,183.81 / $3,218.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.44 / $2,766.39 / $3,929.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.39 / $2,889.19 / $4,797.49
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
$1,706.85 / $2,021.01 / $4,009.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.54 / $1,136.89 / $1,446.96