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New Hampshire rates for HCPCS 0687T

Treatment of amblyopia using an online digital program; device supply, educational set-up, and initial session

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.49 / $57.19 / $80.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00