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New Hampshire rates for HCPCS G0186

Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $227.51 / $8,965.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.11 / $227.51 / $227.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.16 / $823.16 / $1,032.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.22 / $1,308.42 / $2,399.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,035.00 / $8,035.00 / $8,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $809.37 / $1,829.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.60 / $453.86 / $577.64