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New Hampshire rates for HCPCS 67040

Vtrectomy Mchnl Pars Plna Endolaser Panrta Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,693.05 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.44 / $1,317.06 / $2,503.79
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
$991.42 / $1,559.50 / $2,689.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.35 / $1,800.49 / $2,724.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.47 / $2,038.80 / $4,038.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.00 / $11,155.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.74 / $1,732.61 / $3,040.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.14 / $1,118.48 / $1,539.54