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New Hampshire rates for HCPCS 65782

Occular Surface Reconstruction Limbal Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,808.72 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.34 / $1,150.63 / $2,764.04
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
$1,099.46 / $1,729.44 / $2,982.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.52 / $2,260.98 / $4,478.14
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
$1,432.59 / $1,773.31 / $3,370.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.48 / $989.43 / $1,259.27