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New Hampshire rates for HCPCS 76513

Dx Ophthalmic Us Ant Segment Immersion Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.67 / $120.26 / $120.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.20 / $79.14 / $113.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.14 / $29.80 / $41.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.06 / $49.35 / $72.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.13 / $105.90 / $148.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.05 / $45.59 / $63.92
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$108.19 / $158.85 / $222.72
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.08 / $60.31 / $84.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.99 / $149.82 / $230.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.21 / $61.67 / $96.56
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.44 / $89.90 / $134.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $137.50 / $272.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.54 / $63.18 / $117.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.03 / $83.58 / $154.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.63 / $129.94 / $189.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.75 / $46.38 / $151.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.59 / $80.75 / $153.12
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $95.68 / $140.63
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.44 / $32.93 / $44.91
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.37 / $60.55 / $83.45