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New Hampshire rates for HCPCS 58563

Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $3,019.95 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $1,096.48 / $5,495.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $302.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,623.41 / $8,912.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $537.03 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $758.58 / $5,248.07
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $2,187.76 / $5,011.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $2,187.76 / $4,786.30