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New Hampshire rates for HCPCS G0117

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $52.36 / $68.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.13 / $95.88 / $121.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.32 / $102.77 / $196.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $69.98 / $143.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.35 / $48.79 / $62.09