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New Hampshire rates for HCPCS 58670

Laparoscopy Fulguration Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,334.40 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $396.11 / $790.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $9,458.00 / $17,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.21 / $623.24 / $918.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.68 / $780.77 / $1,125.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.48 / $824.23 / $1,368.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.60 / $567.10 / $1,125.08
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.13 / $349.36 / $551.40