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New Hampshire rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,796.70 / $6,067.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,117.67 / $2,802.41
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
$1,106.90 / $1,741.14 / $3,002.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.20 / $2,010.65 / $2,677.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.89 / $2,231.82 / $3,911.12
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
$1,294.78 / $1,757.17 / $3,402.43
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.49 / $1,000.44 / $1,273.29