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New Hampshire rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,806.97 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.02 / $851.56 / $2,341.90
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
$923.49 / $1,452.65 / $2,505.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.98 / $1,629.34 / $2,282.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.93 / $1,899.12 / $3,761.45
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
$1,050.28 / $1,283.43 / $2,655.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.76 / $785.14 / $999.26