go back

New Hampshire rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $821.73 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $252.84 / $821.73
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
$238.89 / $315.98 / $490.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.27 / $503.75 / $780.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.50 / $495.13 / $877.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.63 / $384.03 / $772.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.61 / $200.36 / $240.43