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New Hampshire rates for HCPCS 65420

Excision/Transposition Pterygium W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,711.81 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.66 / $505.16 / $1,231.96
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
$367.13 / $574.67 / $816.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.32 / $801.37 / $1,276.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.69 / $880.68 / $1,803.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,565.00 / $9,565.00 / $9,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.23 / $807.91 / $1,564.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.54 / $430.82 / $634.35