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New Hampshire rates for HCPCS 58563

Hysteroscopy Endometrial Ablation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.70 / $2,953.61 / $9,904.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.61 / $1,264.98 / $2,953.61
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
$277.91 / $490.81 / $3,305.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.67 / $1,027.26 / $6,313.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.52 / $2,185.88 / $6,746.72
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
$2,185.88 / $3,228.71 / $5,992.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.47 / $1,489.26 / $2,236.82