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New Hampshire rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,663.72 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.64 / $807.28 / $2,251.40
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
$886.94 / $1,395.15 / $2,406.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.97 / $1,546.17 / $2,195.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.90 / $1,823.95 / $3,612.55
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
$1,003.38 / $1,354.40 / $2,548.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.52 / $751.87 / $956.93