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New Hampshire rates for HCPCS 58805

Drainage Ovarian Cyst Uni/Bi Spx Abdominal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,477.74 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.56 / $437.09 / $1,477.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.67 / $719.07 / $1,055.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.60 / $903.13 / $1,300.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.69 / $947.64 / $1,573.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.61 / $586.89 / $1,275.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.67 / $396.80 / $626.29