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New Hampshire rates for HCPCS 67141

Proph Retinal Dtchmnt W/O Drg Crtx Diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,703.89 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.55 / $495.90 / $641.99
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
$207.66 / $357.66 / $505.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.93 / $424.93 / $916.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.04 / $464.90 / $845.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.49 / $715.86 / $1,539.02
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.61 / $457.62 / $619.85