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New Hampshire rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $911.28 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.31 / $267.22 / $911.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.97 / $424.90 / $623.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.35 / $563.38 / $767.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.17 / $559.77 / $929.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.83 / $476.98 / $982.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.91 / $340.37 / $494.60