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New Hampshire rates for HCPCS 67025

Inj Substitute Pars Plana/Limbl W/Wo Aspir Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,057.31 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.04 / $693.62 / $1,783.39
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
$605.20 / $928.76 / $1,346.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.32 / $1,152.55 / $1,739.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.85 / $1,323.24 / $2,482.42
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
$895.80 / $1,213.76 / $2,482.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.03 / $583.14 / $699.77