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New Hampshire rates for HCPCS 58674

Laps Abltj Uterine Fibroids W/Intraop Us Gdn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $15,774.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.62 / $921.57 / $921.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.05 / $1,356.71 / $2,002.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.33 / $1,796.09 / $2,443.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.12 / $1,797.56 / $2,984.85
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
$1,123.89 / $1,546.92 / $3,005.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.79 / $770.15 / $1,215.55