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New Hampshire rates for HCPCS 58553

Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,144.09 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.74 / $1,224.76 / $4,144.09
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
$1,253.56 / $1,866.38 / $2,753.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.21 / $2,372.71 / $3,357.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.06 / $2,471.92 / $4,104.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.11 / $1,669.84 / $4,433.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.40 / $1,061.28 / $1,675.05