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New Hampshire rates for HCPCS 95930

Visual Ep Testing Cns Except Glaucoma W/I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.63 / $330.67 / $330.67
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.45 / $54.79 / $54.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.21 / $115.71 / $139.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.90 / $17.64 / $25.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.92 / $99.80 / $121.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $93.28 / $151.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.47 / $25.44 / $38.50
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.58 / $67.84 / $108.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.76 / $129.13 / $240.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.85 / $30.96 / $53.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.91 / $103.96 / $188.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $120.87 / $226.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.00 / $32.90 / $61.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.32 / $87.90 / $164.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.50 / $112.21 / $227.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.66 / $31.37 / $63.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.81 / $101.47 / $166.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.89 / $74.95 / $125.83
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.46 / $17.35 / $22.75
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.08 / $48.85 / $107.93