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New Hampshire rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,613.55 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.73 / $495.35 / $1,193.40
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
$479.70 / $754.56 / $1,301.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.24 / $872.68 / $1,159.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.05 / $986.48 / $1,953.82
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
$557.88 / $754.01 / $1,460.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.59 / $430.75 / $548.23