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New Hampshire rates for HCPCS 65820

Goniotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,468.69 / $8,965.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,851.52 / $1,851.52 / $1,851.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.08 / $735.69 / $1,988.63
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$104.89 / $110.35 / $298.29
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
$786.02 / $1,236.40 / $2,132.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.80 / $1,432.71 / $1,933.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.81 / $1,616.42 / $3,201.51
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
$915.65 / $1,112.69 / $2,303.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.88 / $722.95 / $1,172.31