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New Hampshire rates for HCPCS 65275

Repair of laceration; cornea, nonperforating, with or without removal foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,835.96 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.89 / $540.90 / $1,417.61
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
$441.85 / $678.08 / $983.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.09 / $912.86 / $1,384.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.61 / $1,010.09 / $1,980.70
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
$636.63 / $857.09 / $1,718.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.37 / $462.36 / $554.83