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New Hampshire rates for HCPCS 68850

Injection Contrast Medium Dacryocystograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.79 / $231.48 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.73 / $61.08 / $79.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $81.17 / $113.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $101.54 / $156.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.88 / $105.38 / $197.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.16 / $99.68 / $464.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.76 / $51.11 / $61.26