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New Hampshire rates for HCPCS 67145

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,819.70 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $537.03 / $977.24
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$512.86 / $512.86 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,412.54 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$281.84 / $524.81 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $912.01
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $676.08 / $1,445.44