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New Hampshire rates for HCPCS 0615T

Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $95.35 / $105.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.84 / $62.53 / $88.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.72 / $156.33 / $309.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.68 / $141.85 / $188.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00