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New Hampshire rates for HCPCS 58350

Chromotubation Oviduct W/Materials

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $287.11 / $3,055.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $101.44 / $287.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.97 / $165.46 / $284.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.77 / $233.11 / $453.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.25 / $262.07 / $516.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.83 / $223.63 / $395.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.79 / $97.90 / $152.40