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New Hampshire rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,328.07 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.02 / $682.87 / $1,613.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.52 / $746.42 / $1,055.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.51 / $1,033.41 / $1,646.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.61 / $1,138.28 / $2,328.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.60 / $1,071.23 / $2,080.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.73 / $544.22 / $671.34