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New Hampshire rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,401.75 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.34 / $738.42 / $2,069.26
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
$814.81 / $1,281.69 / $2,210.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.61 / $1,394.11 / $2,022.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.07 / $1,675.61 / $3,318.77
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
$895.45 / $1,158.04 / $2,322.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.89 / $687.38 / $874.85