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Glaucoma Screening, High Risk Patient

New Hampshire rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Rates data updated July 2026.

Professionalmedian $56 · 10th–90th $37$1380%10%10th90th$56$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$70.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$100.00
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$70.79
Typical High
$165.96
Well Sense
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$51.29