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New Hampshire rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,763.16 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.82 / $1,732.58 / $3,219.69
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
$1,270.25 / $1,998.09 / $3,446.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.89 / $2,307.14 / $3,345.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,599.59 / $2,612.19 / $5,173.79
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
$1,809.07 / $2,156.96 / $3,907.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.38 / $1,409.37 / $1,841.58