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New Hampshire rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,826.00 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.54 / $855.15 / $2,102.89
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
$841.01 / $1,322.90 / $2,281.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.23 / $1,531.02 / $2,042.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.06 / $1,729.50 / $3,425.48
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
$978.85 / $1,326.76 / $2,569.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.40 / $758.34 / $965.16