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New Hampshire rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,220.80 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.32 / $365.12 / $1,298.85
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
$100.92 / $188.61 / $1,003.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.69 / $1,046.43 / $2,742.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.01 / $1,221.25 / $3,743.50
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
$1,677.77 / $1,959.74 / $3,623.54
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.81 / $163.53 / $1,189.14