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New Hampshire rates for HCPCS 58679

Unlisted Laparoscopy Procedure Oviduct Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $11,351.00
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
$11,155.00 / $11,155.00 / $11,155.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $3,375.00 / $4,735.00