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New Hampshire rates for HCPCS 58540

Hysteroplasty, repair of uterine anomaly (Strassman type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,311.31 / $22,387.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $15,135.61 / $23,988.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,621.81 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $1,737.80 / $2,691.53
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $2,754.23