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New Hampshire rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $14,929.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.72 / $1,060.82 / $2,341.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.94 / $767.12 / $2,025.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.35 / $1,941.67 / $5,078.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.46 / $2,251.05 / $6,900.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,836.04 / $3,743.91 / $7,096.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.50 / $486.50 / $2,327.83