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New Hampshire rates for HCPCS 58671

Laparoscopy W/Plmt Occlusion Device Oviducts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,333.57 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $375.31 / $412.37
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
$407.60 / $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
$505.04 / $542.49 / $1,122.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $348.72 / $550.40