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New Hampshire rates for HCPCS 66030

Injx Anterior Chamber Eye Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $550.58 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.58 / $135.78 / $265.13
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
$107.39 / $173.73 / $254.95
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$161.08 / $260.07 / $382.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.38 / $248.09 / $421.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $278.27 / $594.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.41 / $264.60 / $513.82
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $121.56 / $166.45