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New Hampshire rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.11 / $745.38 / $798.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.64 / $419.95 / $608.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.13 / $558.44 / $1,202.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.08 / $598.30 / $1,128.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.41 / $888.61 / $2,431.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.51 / $262.35 / $314.82