go back

New Hampshire rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,932.77 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.20 / $571.05 / $1,702.25
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
$667.96 / $1,050.69 / $1,812.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.33 / $1,121.88 / $1,668.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.14 / $1,373.61 / $2,720.62
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
$736.89 / $968.64 / $1,881.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.20 / $555.72 / $707.28