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New Hampshire rates for HCPCS 67505

Retrobulbar Injection Alcohol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $294.48 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $82.81 / $211.04
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
$68.90 / $105.73 / $153.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.47 / $134.08 / $201.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.69 / $150.63 / $287.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.71 / $120.96 / $242.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.08 / $64.81 / $77.77