go back

New Hampshire rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.87 / $2,525.38 / $7,499.65
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$505.08 / $505.08 / $505.08
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,894.04 / $1,894.04 / $1,894.04
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$378.81 / $378.81 / $378.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.09 / $708.23 / $1,313.11
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$320.27 / $354.12 / $656.56
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$480.42 / $531.16 / $984.83
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$96.08 / $106.23 / $196.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.28 / $1,187.28 / $1,187.28
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
$521.75 / $820.70 / $1,415.45
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$782.62 / $1,231.06 / $1,873.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.68 / $948.99 / $1,465.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.02 / $1,072.94 / $2,125.10
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
$739.38 / $947.78 / $1,601.47
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.10 / $588.04 / $809.42