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New Hampshire rates for HCPCS 58661

Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.21 / $5,238.00 / $11,844.84
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,103.83 / $7,825.28 / $24,678.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00