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New Hampshire rates for HCPCS 65110

Exenteration Orbit Remvl Orbital Contents Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,058.95 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.25 / $1,218.51 / $3,212.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.45 / $1,987.41 / $3,427.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.94 / $2,300.08 / $3,101.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.03 / $2,598.23 / $5,146.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.84 / $1,860.18 / $3,730.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.50 / $1,100.55 / $1,400.70