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New Hampshire rates for HCPCS 58673

Laparoscopy Salpingostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,942.67 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.43 / $865.05 / $2,942.67
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
$884.58 / $1,322.37 / $1,950.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.68 / $1,749.17 / $2,380.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.42 / $1,750.54 / $2,906.78
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
$1,092.80 / $1,309.25 / $2,429.89
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.58 / $751.90 / $1,186.74