go back

New Hampshire rates for HCPCS 92575

Sensorineural Acuity Level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.91 / $74.67 / $84.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.63 / $82.65 / $141.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $81.22 / $206.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.10 / $91.51 / $230.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.10 / $63.14 / $115.09
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $61.23 / $98.84