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New Hampshire rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,908.81 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.77 / $580.24 / $1,456.78
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
$578.36 / $909.74 / $1,569.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.59 / $1,052.94 / $1,413.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.31 / $1,189.34 / $2,355.69
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
$710.05 / $865.14 / $1,735.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.56 / $512.12 / $651.78