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New Hampshire rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,610.71 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.72 / $490.63 / $1,183.26
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
$469.02 / $737.77 / $1,272.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.85 / $852.62 / $1,137.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.63 / $964.53 / $1,910.38
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
$553.42 / $716.53 / $1,436.99
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.68 / $423.15 / $538.54