go back

New Hampshire rates for HCPCS 67400

Orbitotomy W/O Bone Flap Expl W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $3,088.33 / $11,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $936.11 / $2,516.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.21 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.54 / $1,553.39 / $2,679.11
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,481.31 / $2,330.09 / $3,546.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.09 / $1,792.63 / $2,446.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.58 / $2,030.83 / $4,022.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.34 / $1,338.10 / $2,889.95
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.44 / $906.88 / $1,369.64