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New Hampshire rates for HCPCS 67105

Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.38 / $679.00 / $725.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.95 / $405.06 / $587.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.81 / $518.34 / $1,160.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.23 / $546.04 / $1,005.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.26 / $598.45 / $919.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.71 / $292.45 / $623.42