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New Hampshire rates for HCPCS 58974

Embryo transfer, intrauterine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,749.77 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $148.07 / $157.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.17 / $253.28 / $372.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.51 / $306.14 / $442.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.30 / $323.95 / $537.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.83 / $209.43 / $445.17
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.39 / $2,875.00 / $4,410.00