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New Hampshire rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.89 / $484.89 / $581.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.17 / $484.89 / $1,039.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.74 / $441.74 / $465.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $465.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.26 / $697.26 / $2,152.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.42 / $429.63 / $548.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.64 / $675.17 / $992.50