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New Hampshire rates for HCPCS 58300

Insertion Intrauterine Device Iud

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.53 / $263.35 / $4,847.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $74.84 / $204.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.43 / $87.02 / $134.86
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
$60.71 / $98.54 / $182.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.40 / $149.80 / $321.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.72 / $158.40 / $368.91
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
$114.16 / $157.55 / $276.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.77 / $95.89 / $143.84