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New Hampshire rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $501.19 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $758.58
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $1,071.52