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New Hampshire rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,833.65 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.22 / $855.87 / $2,103.81
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
$841.66 / $1,323.92 / $2,283.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.64 / $1,532.22 / $2,043.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.86 / $1,730.83 / $3,428.11
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
$967.34 / $1,190.48 / $2,571.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.96 / $758.96 / $965.94