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New Hampshire rates for HCPCS 58565

Hysteroscopy Bi Tube Occlusion W/Perm Implnts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.64 / $1,611.42 / $2,165.51
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
$489.20 / $918.28 / $2,643.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.84 / $1,944.34 / $4,951.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.98 / $1,748.19 / $5,395.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,497.54 / $3,215.02 / $6,219.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.55 / $1,543.91 / $2,919.59