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New Hampshire rates for HCPCS 67500

Retrobulbar injection; medication (separate procedure, does not include supply of medication)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $302.00 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $112.20
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
$54.95 / $104.71 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $131.83 / $190.55
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $117.49 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $104.71 / $213.80