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New Hampshire rates for HCPCS 67250

Scleral reinforcement (separate procedure); without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,754.23 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $933.25 / $1,288.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,737.80 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,584.89 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,584.89 / $2,630.27
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,548.82 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,318.26 / $2,630.27