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New Hampshire rates for HCPCS 58323

Sperm Washing Artificial Insemination

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $46.45 / $100.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.26 / $15.85 / $27.00
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
$13.80 / $17.96 / $27.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $28.68 / $45.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $28.11 / $50.28
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
$21.31 / $29.60 / $47.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.93 / $13.58 / $19.00